对在急诊室内或与急诊室一起工作的全科医生不同模型的评估:一种混合方法的现实主义评估
Freya Davies1, Michelle Edwards1, Delyth Price1
1PRIME Centre Wales, School of Medicine, Cardiff University, Cardiff, UK.
Health and social care delivery research
|April 30, 2024
概括
一般医生-急诊室模型没有减少等待时间或改善患者流动,尽管GP被团队评价. 有一个工具包可用于指导这些服务的实施.
科学领域:
- 医疗保健提供研究 医疗保健研究
- 医疗服务研究 医疗服务研究
- 紧急医疗 紧急医疗
背景情况:
- 紧急服务部门面临着越来越多的患者需求.
- 紧急部门的全科医生 (GP) 管理是一个潜在的解决方案.
- 医生整合到紧急护理中存在各种模式.
研究的目的:
- 评估GP-急诊室模型的有效性,安全性,患者体验和系统影响.
- 为GP-紧急服务部门提供服务制定分类学和程序理论.
- 创建一个工具包来指导这些服务的实施.
主要方法:
- 在英格兰和威尔士的13个病例地点进行混合方法的现实评估.
- 包括文献综述,调查,采访,观察和时间序列分析.
- 对常规数据进行了成本后果分析和"标记条件"分析.
主要成果:
- 医生-急诊室模型没有减少整体急诊室等待时间或改善患者流动.
- 观察到急诊室出勤率和重新出勤率的增加.
- 定性数据显示,全科医生是急诊室团队的有价值成员.
结论:
- 实施的GP-紧急部门模型没有实现减少等待时间或改善流量的首要目标.
- 发现成本节约的证据有限.
- 已经开发了一个工具包来支持GP-紧急部门服务的实施.
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