在多专业,多站点医疗实践中自行安排医疗访问:复杂性,挑战和成功
Frederick North1, Rebecca Buss2, Elissa M Nelson2
1Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, Minnesota, USA.
Health services research and managerial epidemiology
|May 13, 2024
概括
自主安排医疗访问正在增长,但复杂性是一个障碍. 标准化检查,如查和实验室检查,提高了自我安排的成功,尽管一些复杂的检查仍然需要工作人员的协助.
科学领域:
- 医疗保健管理局的管理.
- 医疗信息学 医疗信息学
- 患者体验 患者体验
背景情况:
- 医疗预约的自动安排越来越多地被采用,但由于安排的复杂性,面临实施障碍.
- 梅奥诊所自2019年以来一直在扩大其自我调度能力.
- 了解调度复杂性对于优化自动调度系统至关重要.
研究的目的:
- 量化与医疗访问安排相关的复杂性.
- 在自动调度框架内分析调度复杂性的机会和挑战.
主要方法:
- 检查了2022年1月1日至2023年8月24日的预定访问.
- 统计了七个类别的员工预约和自主预约的独特访问类型.
- 确定了具有最高患者吸收率的自行安排访问类型.
主要成果:
- 超过2080万次完成的访问包括9555种独特的访问类型.
- 自行安排的访问占完成访问总数的4.0% (838,592次).
- 已建立的患者,测试和程序访问占自主安排约会的93.5%,初级保健已建立的患者访问是最常见的 (32.6%).
结论:
- 许多独特的访问类型对自动安排的实施构成了重大挑战.
- 标准化访问类型,如基于指导方针的程序 (例如,乳房影像,免疫接种) 和已建立的患者/实验室访问,显示出高度适合和接受自我安排.
- 数以千计的特定类型的访问仍然需要工作人员的干预来准确安排.
关键词:
家庭医学的家庭医学.卫生经济学 卫生经济学医疗信息学是一门医学信息学专业.门诊诊所的访问 门诊的访问儿科 儿科 儿科 儿科实践管理的管理实践.进行预防性查.主要护理是一级医疗保健.自动安排时间表妇女的健康妇女的健康更多相关视频
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