外部与内部电子推:使用二次收集数据进行全国性流行病学研究的结果
Nawfal A Aljerian1,2, Abdullah A Alharbi3, Hani A Alghamdi4
1Medical Referrals Centre, Ministry of Health, Riyadh, Kingdom of Saudi Arabia.
Risk management and healthcare policy
|April 2, 2024
概括
分析了沙特阿拉伯 (KSA) 的外部电子推,揭示了显著的区域和人口差异. 研究结果表明,虚拟咨询和加强初级保健可以优化患者转诊途径.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 电子推系统在全球范围内提高了患者获得专家的机会.
- 之前缺乏对沙特阿拉伯 (KSA) 的内部与外部电子推的比较研究.
- 本研究通过分析KSA.内的转介数据来解决这一差距.
研究的目的:
- 分析沙特阿拉伯 (KSA) 外部电子推的趋势和决定因素.
- 确定影响内部和外部推之间的选择因素.
- 为符合沙特2030年愿景的新护理模式提供见解.
主要方法:
- 来自沙特医疗预约和推中心系统 (2020-2021) 的二次数据的回顾性分析.
- 包括社会人口统计数据,推特征和专业信息.
- 后勤回归分析,以确定与外部推相关的因素.
主要成果:
- 在645,425个电子推中,有19.87%是外部推,北方地区的比例最高 (48.65%).
- 年轻人 (25岁以下) 和特定地区 (北部,西部,南部) 的外部转诊率较高.
- 缺乏专业服务和设备是外部转诊的关键驱动因素,特别是瘤学和器官移植.
结论:
- 沙特阿拉伯的电子推模式表现出显著的区域和人口统计学差异.
- 建议包括扩大虚拟咨询和加强初级保健,以减少外部转诊.
- 未来的研究应该集中在资源分配 (基础设施,劳动力) 上,以完善医疗保健战略.
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