使用设计思维来了解头痛转诊的原因,并降低转诊率
Ashish D Patel1, Mallory Sponenberg1, Leeann Webster1
1Neurology (ADP, SC, ES), Health Information Technology (MS), Pharmacy Services (LW), and Community Medicine (JAD, BS), Geisinger (SF), Danville, PA.
Neurology. Clinical practice
|August 26, 2024
概括
电子健康记录 (EHR) 工具使头痛患者的神经学转诊减少了77%,MRI订单减少了35%. 这项创新有效地管理了需求,并降低了医疗保健成本.
科学领域:
- 神经学 神经学
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
背景情况:
- 对神经病学服务的日益增长的需求超过了目前的供应.
- 研究了初级保健提供者 (PCP) 对头痛患者的转诊模式.
- 利益相关者的意见为开发电子健康记录 (EHR) 工具提供了信息.
研究的目的:
- 评估EHR头痛工具对PCP诊所内护理的影响.
- 评估该工具在管理神经病学咨询需求方面的有效性.
- 确定减少与头痛管理相关的医疗保健成本的策略.
主要方法:
- 基于EHR的头痛管理工具的合作开发.
- 在PCP诊所实施该工具.
- 在工具实施之前和之后,分析神经学转诊率和MRI订单模式.
主要成果:
- 实施后的神经学转诊减少了77%.
- 在EHR工具发布后,MRI订单下降了35%.
- 据估计,在3个月内,医疗保健成本节省了207,600美元.
结论:
- 通过EHR工具将神经病学家的专业知识嵌入PCP办公室内,有效地塑造了对专业咨询的需求.
- 电子头痛医疗工具在降低医疗保健成本和管理头痛护理负担方面显示出巨大的潜力.
- 计划进行进一步的合作和工具改进,以便在整个卫生系统中更广泛地传播.
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