一项质量改进研究,以识别威因素并改善语音患者对随访的遵守
Tanya Gupta1, Elizabeth Cash2, Christy Albert3
1University of Louisville School of Medicine, Louisville, Kentucky.
Journal of voice : official journal of the Voice Foundation
|August 2, 2024
概括
改善语音障碍治疗的坚持需要解决患者的担忧. 财务障碍和诊所的可访问性显著影响了随访率,诊所搬迁和加强多学科护理后出现了改善.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 声音障碍 声音障碍
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 语音障碍通常需要多学科治疗.
- 患者不遵守后续护理是语音诊所的一个重大挑战.
- 了解违规原因对于改善患者的治疗结果至关重要.
研究的目的:
- 确定导致患者在语音护理诊所不遵守规定的因素.
- 实施和评估质量改进计划,以减少不合规率.
- 为了提高患者对语音护理建议的坚持.
主要方法:
- 一个多专业的语音护理诊所发现了不合规的患者 (在6个月内没有随访).
- 患者完成了介入前和介入后的调查,以了解违规原因.
- 质量改善工作包括搬迁诊所和实施多学科团队方法.
主要成果:
- 财务问题和对诊所位置的不满是最初不合规的主要原因.
- 干预后,报告显示财务担忧显著减少 (P=.003).
- 观察到患者报告感觉好转的增加是不进行随访的原因 (P=.018).
结论:
- 临床的可访问性和负担能力是影响患者遵守语音护理的关键因素.
- 搬迁诊所和采用综合护理模式可以改善患者的遵守.
- 强调护理的连续性对于优化语音障碍治疗结果至关重要.
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