通用实践中的访问系统:一个系统的范围审查
Abi Eccles1, Carol Bryce1, Annelieke Driessen2
1Warwick Applied Health, Warwick Medical School, University of Warwick, Coventry, UK.
全科医生预约访问系统正在不断发展,以满足不断增长的需求. 虽然许多专注于实践效率,但这些系统中以患者为中心的结果仍未得到充分研究,特别是随着数字服务的兴起.
科学领域:
- 初级保健管理管理初级保健管理
- 医疗保健服务研究 医疗服务研究
- 系统审查是系统的审查.
背景情况:
- 在高收入国家,由于劳动力紧张和需求增加,获得全科医生 (GP) 任命是一个重大挑战.
- 为了应对这些挑战,已经开发和评估了各种国际GP访问系统.
研究的目的:
- 系统地审查和整合不同类型的GP访问系统的国际证据.
- 综合各种GP访问模型使用的组件,目标和策略.
主要方法:
- 进行了对国际文献的范围审查.
- 在2022年5月,对相关数据库进行了搜索,随后进行了标题,摘要和全文选.
- 数据提取和映射被用来合成GP访问系统上的信息.
主要成果:
- 该审查包括了49项研究,主要来自英国.
- 通常研究的系统包括高级访问,电话分选和在线咨询.
- 关键策略包括修改预约能力或患者途径,趋向于"附加"系统和效率目标.
结论:
- 综合提供了关于GP访问系统的设计和实施的见解.
- 患者为中心的结果似乎没有得到充分的研究,尽管重点是减轻需求.
- 数字服务虽然被推广为选择,但在资源有限的环境中面临挑战.
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