对NHS 111对初级保健服务需求的分析:一个回顾性队列研究
Richard Pilbery1,2, Madeleine Smith3, Jonathan Green4
1Yorkshire Ambulance Service Research Institute, Yorkshire Ambulance Service NHS Trust, Wakefield, West Yorkshire, United Kingdom.
PloS one
|July 1, 2024
概括
虽然NHS 111服务通常会将呼叫者指向初级保健,但只有不到一半的呼叫者会连接. 即使他们这样做,及时的护理经常被错过,这表明初级保健努力满足需求.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 紧急医疗 紧急医疗
背景情况:
- 每年NHS 111服务处理超过1600万次电话,其中近一半被分类为初级保健.
- 人们对初级保健机构管理这种患者涌入的能力的理解有限.
- 如果不能及时提供初级保健,可能会导致更多地使用紧急服务.
研究的目的:
- 为了调查NHS 111呼叫者前往初级保健的病人旅程.
- 评估初级保健服务能够满足NHS 111转诊产生的需求的能力.
- 为了分析随后的医疗保健接入模式,在最初的NHS 111呼叫后的72小时内.
主要方法:
- 来自连接约克郡研究数据库的例行数据的回顾性分析.
- 包括从2021年1月1日到2021年12月31日的所有NHS 111电话,用于在布拉德福德或爱尔代尔的全科医生注册的患者.
- 在72小时内跟踪随后的医疗保健接入 (111,999,初级和二级保健).
主要成果:
- 在56102个指数NHS 111电话中,47.6%被分类到初级保健.
- 只有58%的这些初级保健转诊是在目标分拣时间框架内启动的.
- 没有先前初级保健接触的患者有更高的999通话和急诊室出勤率.
结论:
- 不到一半的NHS 111呼叫者被指向初级保健成功地参与了服务.
- 主要护理服务经常无法满足NHS 111转诊的分拣时间框架.
- 目前的初级保健能力似乎不足以满足NHS 111服务产生的需求.
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