什么时候,如果有的话,将患者视为"医疗上太复杂"对于一个住院服务而不是另一个是合适的吗?
1Practicing emergency physician and internist and a clinical ethicist.
AMA journal of ethics
|December 12, 2023
概括
骨科医生和医院医生之间的医生分歧可能会推迟患有慢性疾病的患者的骨科手术入院. 改善入院流程可以减少这些延迟引起的患者痛苦.
科学领域:
- 整形外科手术 整形外科手术
- 内部医学 内部医学
- 医院 医院 医疗 医疗 医疗 医疗
背景情况:
- 患有需要骨科手术的慢性健康状况的患者经常面临入院延误.
- 骨科外科医生和内科医生 (医院医生) 之间的分歧是这些延误的主要原因.
- 整形外科医生对患者医疗复杂性的不同临床判断导致了医生之间的分歧.
研究的目的:
- 描述影响医院医生和骨科医生的患者处置的限制.
- 建议医院入院流程的质量改进.
- 为了减轻因医疗专业人士的分歧而产生的患者痛苦.
主要方法:
- 案例评论分析.案例评论分析.
- 评估影响患者情绪的因素.
- 识别录取途径中的质量改进机会.
主要成果:
- 由于不同的实践模式和复杂性评估,医生之间的分歧导致了大量的入院延误.
- 医院医生和骨科医生在管理患者流动和处置方面存在限制.
- 患者的痛苦是长期入院过程的常见后果.
结论:
- 需要在骨科手术招生中加强合作和标准化标准.
- 流程改进可以简化患者情绪,减少与医疗保健相关的患者痛苦.
- 解决医生意见分歧对于有效的患者护理和改善患者体验至关重要.
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