患者在大型多站点,多专业医疗实践中自我安排的机会:程序描述和7个独特过程的吸收,使患者能够成功地自我安排 (并重新安排) 他们的医疗预约
Frederick North1, Rebecca Buss2, Elissa M Nelson2
1Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, MN, USA.
Health services research and managerial epidemiology
|August 26, 2024
概括
一个多站点诊所成功地实施了七种患者自我调度方法,导致超过733,000个预约完成. 这些过程简化了获得护理的机会,改善了患者参与管理医疗访问的情况.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
- 患者获得护理的机会
背景情况:
- 医疗机构越来越多地采用患者自我安排.
- 管理各种各样的约会类型和复杂的调度指南带来了挑战.
- 有效的流程对于优化自动调度系统至关重要.
研究的目的:
- 分析各种患者自我调度方法的有效性.
- 量化不同自我调度过程在多站点,多专业诊所的成功.
- 通过主要和次要的自我调度途径绘制患者的旅程.
主要方法:
- 从七种独特的方法收集了成功自行安排和完成预约的数据.
- 开发了五个主要 (新任命) 和两个次要 (重新安排) 自主调度过程的流程地图.
- 分析了2023年1月1日至12月31日的任命数据.
主要成果:
- 七个独特的流程促进了733,651个完成的自我安排的访问.
- 报票系统是最常用的方法 (46.6%),其次是直接自行安排 (27.6%) 和自行重新安排 (10.9%).
- 其他方法包括网站调度,自动等待列表和自我选,每个方法的贡献率各不相同.
结论:
- 一家多专业诊所成功实施了七种不同的患者自我调度过程.
- 这些过程包括预先调度 (例如,自行选) 和调度后的行动 (例如,自行重新调度).
- 需要进一步的研究来评估预订准确性 (提供商,位置,访问长度),超出完成率.
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