选择性集中预订作为对集中推的低成本替代方案
Taryn Zabolotniuk1, Chad Rideout2, Hamish Hwang2
1From the Faculty of Medicine, University of British Columbia, Vancouver, B.C. (Zabolotniuk, Hwang); the Department of General Surgery, Vernon Jubilee Hospital, Vernon, B.C. (Hwang); and the Department of Perioperative Services, Vernon Jubilee Hospital, Vernon, B.C. (Rideout) taryn.z@alumni.ubc.ca.
Canadian journal of surgery. Journal canadien de chirurgie
|August 1, 2024
概括
一个低成本的集中预订系统显著减少了修复患者的手术等待时间. 这种高效的模型提高了手术室利用率和等待列表均等,而无需额外资金.
科学领域:
- 一般外科 整体外科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 集中推系统可以缩短外科等待时间,但由于持续的费用,面临可持续性挑战.
- 不有效的安排和等待列表管理导致长期的手术延误.
研究的目的:
- 为了评估一个低成本的中央预订项目手术的有效性.
- 评估集中预订对手术等待时间和手术室利用率的影响.
主要方法:
- 在2019年7月至11月期间,对手术的集中预订系统进行了前性试验.
- 患有 inguinal 或椎的患者在咨询后被集中预约到第一个可用的外科医生.
- 将中央预约的患者和使用传统系统的患者的等待时间进行了比较.
主要成果:
- 集中预订可以将 inguinal hernias 的平均等待时间从 137 天减少到 82 天,而 umbilical hernias 的平均等待时间从 181 天减少到 80 天.
- 该系统通过为最后一分钟的取消提供更大的患者池来增加手术室利用率.
- 六名外科医生之间的等待名单实际上是平等的.
结论:
- 选择性集中预订是一种有希望的,低成本的策略,可以改善通用外科手术的准入.
- 这种模式提高了手术室的效率,并大大减少了患者的等待时间,而不需要额外的资金.
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