一个中高收入国家的一天儿童手术病例后的电话随访:试点研究
Nirav Patel1,2, Jerome Loveland1,2,3, Juan Scribante1,2
1Department of Paediatric Surgery, Faculty of Health Sciences, School of Medicine, University of the Witwatersrand, Johannesburg, South Africa.
World journal of surgery
|March 5, 2024
概括
日间手术患者的手机术后随访是安全有效的. 这种方法为患者和医疗保健系统提供了显著的成本和时间节省,特别是在失业率高的地区.
科学领域:
- 医疗保健创新 医疗保健创新
- 医疗服务研究 医疗服务研究
- 远程医疗的应用程序
背景情况:
- 南非儿童贫困率很高,三分之一的儿童生活在没有就业成年人的家庭中.
- 紧张的公共卫生部门资源需要创新的解决方案.
- 远程医疗为医疗保健服务的资源优化提供了一个潜在的途径.
研究的目的:
- 评估日间手术患者手术后电话随访的安全性和益处.
- 通过远程跟踪评估患者和医疗保健系统的资源节约.
- 确定在资源有限的环境中电话跟进的可行性.
主要方法:
- 对接受日间外科手术的患者进行前性描述性研究.
- 纳入标准:健康的患者>6岁,英语护理人员可以使用智能手机.
- 收集了关于随访次数,并发症,需要亲自审查,满意度和成本/时间节省的数据.
主要成果:
- 进行了38次电话后续检查,15.8%需要因并发症或担忧而进行面对面检查.
- 所有护理人员都表示对电话后续服务感到满意.
- 节省了R4452 (248.45美元) 的运输成本;18.4%的护理人员避免了带薪假期.
结论:
- 电话后续是安全的,可接受的,和选择日间手术患者的成本效益的干预.
- 扩大此类计划可以为患者和医疗保健系统带来大量的节省.
- 医疗保健提供方面的创新对于可访问,负担得起和及时的医疗保健至关重要.
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