MACCABI-RED,按一下按的社区紧急护理:一个描述性研究
Mattan Bar-Yishay1,2, Limor Adler1,3, Alon Bar El1,4
1Department of Family Medicine, Maccabi Healthcare Services, Tel Aviv 6812509, Israel.
Family practice
|June 13, 2024
概括
以色列新的紧急护理服务Maccabi-RED在同一天为超过31,000名专家咨询提供了便利,为急诊室提供了替代方案. 大多数访问涉及常见的诊断,随后的ED入院率较低.
科学领域:
- 医疗保健管理的管理
- 初级保健创新初级保健的创新
- 紧急护理服务紧急护理服务
背景情况:
- 麦卡比-RED是一项以色列服务,使初级保健能够将紧急病例转介给社区专家,以便在当天进行评估.
- 该服务作为紧急诊所 (ED) 访问的替代品,由初级保健医生或护士管理.
研究的目的:
- 量化和描述Maccabi-RED服务提供的医疗护理.
- 在一个大型的国家医疗保健系统中分析患者人口统计,诊断,治疗和结果.
主要方法:
- 在2021年9月至2022年8月期间,对31,831次Maccabi-RED访问的回顾性队列研究.
- 患者特征与国家人口统计数据的比较.
- 用于诊断,治疗,转诊和随后的ED入院或住院的描述性统计数据.
主要成果:
- 最常见的诊断包括肌肉骨疼痛 (12.1%),耳炎/耳痛 (7.8%),伤 (7.6%),骨折 (7.1%).
- 常见的治疗方法是移除异物 (5%) 和件 (3.5%).
- 只有7.8%的访问在七天内导致ED入院;医生的平均响应时间为91分钟.
结论:
- 马卡比红色在全国范围内广泛使用.
- 需要进一步的研究来确定Maccabi-RED是否有效地减少ED访问和相关成本.
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