基于团队的护理模式改善了在一般心脏病学中及时获得护理和患者满意度
概括
与高级实践提供者 (APP) 实施以团队为基础的护理 (TBC) 显著减少了心脏病预约等待时间,并提高了患者满意度. 这种模式改善了及时获得心脏护理的机会,提高了患者的结果和经验.
科学领域:
- 心脏病学 心脏病学
- 医疗保健管理的管理
- 患者获得护理的机会
背景情况:
- 自2014年以来,全国预约等待时间,特别是在心脏病学方面,已经上升.
- 一个大西洋中部的学术医疗中心面临的挑战是,一般心脏病诊所的接入率低于国家标准,影响了患者的结果和满意度.
- 缺乏最佳的护理机会可能会导致患者的负面结果和满意度下降.
研究的目的:
- 评估以团队为基础的护理 (TBC) 模型对门诊一般心脏病诊所的护理和患者满意度的影响.
- 评估将高级实践提供者 (APP) 纳入心脏病护理团队的有效性.
- 改善心脏病的及时门诊治疗.
主要方法:
- 使用临床创新机构框架进行了形成性计划评估.
- 该研究比较了TBC提供者 (包括APP和心脏病专家) 和非团队提供者之间的护理和患者满意度指标.
- 数据与国家基准数据进行了比较.
主要成果:
- 实施后9个月,TBC提供者在平均新患者预约等待时间 (31天) 中出现了47%的下降,与非团队提供者相比 (41天,下降20%).
- 与非团队提供者 (20%) 相比,TBC在14天内实现了更高的新患者预约比例 (39%).
- 在全国范围内,TBC的患者满意度得分达到第98个百分点,而非团队提供者则下降到第71个百分点.
结论:
- 基于团队的护理 (TBC) 模式,结合先进实践提供者 (APP),有效地改善了门诊一般心脏病护理的准入.
- TBC显著提高了患者满意度,使其与国家基准相比处于有利位置.
- 该模型为医疗保健系统提供了一种可行的策略,以应对及时获得专业护理的挑战.
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