儿童整形外科诊所的交通障碍 访问 访问
Maia H Hauschild1, Tishya A L Wren, Michelle Chavez
1From the Jackie and Gene Autry Orthopedic Center, Children's Hospital Los Angeles, Los Angeles, CA.
概括
运输障碍,如长时间的旅行时间和困难的时间安排,使儿童无法参加骨科预约. 改善行动障碍患者的准入和简化调度可以提高临床出诊率.
科学领域:
- 儿科整形医生 儿科整形医生
- 医疗保健的可访问性 医疗保健的可访问性
- 运输 运输 物流 后勤
背景情况:
- 儿科患者在获得专业医疗保健方面面临着独特的挑战,特别是在主要的都市骨科中心.
- 运输障碍可能会对有骨科疾病的儿童的护理连续性和治疗坚持产生重大影响.
研究的目的:
- 为了识别儿童患者前往大都会骨科中心时遇到的交通障碍.
- 确定这些障碍如何影响患者护理和诊所出诊.
- 提出可行的改变,以减轻这些问题,并改善获得护理的机会.
主要方法:
- 在一家三级儿童医院对107名儿科患者的护理人员进行了横截面调查.
- 后勤回归分析被用来比较社会经济因素,运输方法和安排实践之间的护理人员谁错过了访问和那些没有.
- 该研究的重点是患者参加一个大都会地区的骨科诊所.
主要成果:
- 13%的护理人员报告说,由于交通问题或迟到,他们错过了一次或多次过去的骨科诊所访问.
- 较长的旅行时间 (>45分钟),延迟安排 (>1周) 和难以安排预约与错过的访问有显著的关联.
- 非行走状态,使用移动设备和非白人种族也与错过预约的历史有显著联系.
结论:
- 旅行时间,安排困难和患者的门诊状态是影响错过骨科诊所访问的关键因素.
- 除了与流动性和安排相关的社会经济因素之外,社会经济因素与缺席没有显著的关联.
- 干预措施应优先考虑改善流动性有限的患者的可访问性,并简化预约安排流程.
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