提供按需访问提供者的医疗咨询线路减少了急诊室的访问
Linda Diem Tran1,2, Liam Rose1,2, Ken Suzuki3
1Health Economics Resource Center, VA Palo Alto Health Care System, Menlo Park, CA 94025, United States.
Health affairs scholar
|May 17, 2024
概括
提供即时临床医生访问的虚拟护理减少了退伍军人事务注册人员的急诊室 (ED) 访问. 这种按需提供者的选择提高了护理的可访问性,同时降低了高成本的急性护理利用率.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 远程医疗远程医疗
- 紧急医疗 紧急医疗
背景情况:
- 虚拟护理旨在提供及时的患者接入,并降低急性护理成本.
- 医疗咨询线路通常会将患者转介到急诊室 (ED).
- 调查标准ED转诊的替代方案对于医疗保健效率至关重要.
研究的目的:
- 评估提供即时虚拟紧急护理提供者的影响.
- 评估对急诊室 (ED) 访问和其他关键结果的影响.
- 确定虚拟护理作为传统ED转诊的替代方案的有效性.
主要方法:
- 用了一个分阶段的推出设计来实现程序.
- 在2019年至2022年期间,分析了来自退伍军人事务所招生人员的100多万个电话.
- 对患者进行实时虚拟提供者访问与标准医疗咨询线路的结果进行比较.
主要成果:
- 即时的虚拟提供者访问减少了随后的ED访问,从38%降至36%.
- 在住院患者入院或30天死亡率方面没有发现显著差异.
- 65%的呼叫者取得了问题的解决或被转移到较低急性护理.
结论:
- 按需的虚拟提供者访问有效地减少了急诊室 (ED) 的访问.
- 虚拟护理可以作为传统ED转诊的可行替代方案.
- 虽然直接成本节省并不显著,但观察到改善了护理导航.
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