为什么被分类为低急性患者的患者会去急诊室? - 一个波兰的视角
Wiktoria Zasada1, Hanna Cholerzyńska1, Tomasz Kłosiewicz2
1Poznan University of Medical Sciences, 7 Rokietnicka Street, 60-608 Poznań, Poland.
International emergency nursing
|August 25, 2024
概括
许多因低急性病症访问急诊室 (ED) 的患者可以在其他地方得到护理. 患者关注,而不是接入问题,主要是这些访问的驱动因素,突出了关于替代护理选择的公共教育的需要.
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
- 紧急医疗 紧急医疗
背景情况:
- 应急部门面临全球性挑战,包括过度拥挤和系统碎片化.
- 不适当的ED访问低急性条件加剧了这些系统问题.
- 了解患者对低敏度急救诊所的动机对于系统改进至关重要.
研究的目的:
- 为了调查患者报告的急救诊所访问的动机,在波兰波兹南被分类为低敏度.
- 确定改善医疗保健系统流动和减少ED负担的机会.
主要方法:
- 在波兰的ED.进行的横截面调查和回顾性图表审查.
- 包括293名针对低急性疾病进行分组的患者.
- 收集关于患者人口统计,参观特征和参观原因的数据.
主要成果:
- 58%的低急性急救诊所涉及在初级保健机构中可管理的情况.
- 74%的患者因个人健康问题而参加ED.
- 阻碍初级/专科护理接入 (11%) 和系统导航问题 (5%) 是较不常见的原因.
结论:
- 大多数低急性ED访问可以在急诊室之外进行管理.
- 建议包括针对性公共教育,特别是针对年轻成年人,关于适当的护理行为.
- 需要改善政策,以更好地使患者的需求与可用的医疗保健资源保持一致.
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