在门诊跨学科儿科慢性疼痛计划中探索推和服务利用模式
Aimee K Hildenbrand1,2,3, Christina M Amaro1,4, Benjamin Bear1
1Center for Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, USA.
Journal of pain research
|February 9, 2024
概括
对于儿科慢性疼痛计划的需求很高,大多数转诊来自专门诊所. 出勤人数因转诊来源而异,为儿科医院提供信息服务设计.
科学领域:
- 儿科慢性疼痛研究研究
- 医疗保健服务研究 医疗保健服务研究
- 临床计划评估临床项目评估
背景情况:
- 儿童慢性疼痛是一个重要的问题,需要专门的护理.
- 跨学科计划为患有慢性疼痛的年轻人提供全面的管理.
- 了解推模式对于优化程序访问和有效性至关重要.
研究的目的:
- 分析推来源和患者特征,用于门诊跨学科儿科慢性疼痛计划.
- 确定影响跨学科评估出席率的人口和临床因素.
- 为改善儿科疼痛服务的设计和人员配置提供数据.
主要方法:
- 从电子健康记录 (2016-2019) 中提取了转诊数据.
- 在初始评估期间使用了PROMIS儿科焦虑和疼痛干扰量表.
- 分析了推来源,患者人口统计和出席率.
主要成果:
- 接收了1338名患者的1488个转诊,随着时间的推移,其数量不断增加.
- 主要的转诊来源包括骨科,物理医学和康复,神经学和风湿病学.
- 转诊患者主要是女性,白人青少年;疼痛干扰量中度升高,焦虑量在预期范围内.
- 出席率因转诊来源而有很大差异,骨科的比例低于预期,物理医学和康复的比例更高.
结论:
- 对于门诊跨学科儿科慢性疼痛治疗的需求很高.
- 推来源显著影响患者评估出席率.
- 这些发现可以为儿科慢性疼痛计划的人员配置和服务设计提供指导.
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