非紧急部门 (ED) 的干预措施来减少ED的使用:一个范围审查
Målfrid A Nummedal1, Sarah King2, Oddvar Uleberg2,3,4
1Trondheim Emergency Department Research Group (TEDRG), Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway. malfrid.a.nummedal@ntnu.no.
BMC emergency medicine
|July 12, 2024
概括
非急救部门 (ED) 的干预,例如护理协调,可以减少不必要的ED访问. 研究应该扩大,包括老年人和心理健康患者,以进一步减少ED拥挤.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 紧急部门 (ED) 的拥挤是全球面临的重大挑战.
- 现有的审查往往侧重于ED内部干预措施或特定患者群体.
- 需要对基于非ED的策略有全面的了解,以减少不必要的ED使用.
研究的目的:
- 识别,总结和分类旨在减少急诊室访问的非ED基础干预措施.
- 为了提供一个广泛的介绍,在ED之外的干预的景观.
主要方法:
- 根据JBI证据综合手册和PRISMA-SCR指南进行范围审查.
- 在MEDLINE和Embase (2008年至2024年3月) 中进行全面的文献搜索.
- 包括报告ED以外的干预措施的研究,以减少ED访问为目标;独立的选和评审者的分类.
主要成果:
- 从15324个记录中,包括了210项研究 (183项干预,27项系统审查).
- 护理协调/病例管理和其他护理计划是最常见的干预类别.
- 干预主要位于诊所,家庭,医院和初级保健机构,通常针对特定的医疗条件.
结论:
- 许多研究研究了减少ED患者流入的干预措施,经常针对特定疾病,频繁使用者和高风险个人.
- 建议对老年人和心理健康患者等代表性不足的群体进行进一步的研究.
- 需要对低急性患者和普通人群进行额外的研究,以减少整体ED利用率.
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