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在出院后延长紧急护理:试点一个虚拟的护理后诊所
John Adam Oostema1,2, Stephanie Mullennix1, Todd Chassee1,2
1Corewell Health West Emergency Care Specialists Grand Rapids Michigan USA.
Journal of the American College of Emergency Physicians open
|September 13, 2024
概括
虚拟护理后诊所 (VACC) 减少了急诊室 (ED) 的返回. 与没有出现的患者相比,参加VACC预约的患者在72小时和30天内有较少的非预定ED访问.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 远程医疗服务是远程医疗服务.
背景情况:
- 无计划的急诊室 (ED) 复诊往往与缺乏足够的门诊随访护理有关.
- 一个虚拟的护理后诊所 (VACC) 被试点作为一种创新的解决方案,用于从ED出院的患者.
研究的目的:
- 评估紧急医疗人员配备的按需VACC在减少ED复诊的有效性.
- 为了将参加VACC预约的患者与没有参加的患者在72小时30天后ED复发的风险进行比较.
主要方法:
- 进行了一项前性队列研究,涉及从ED出院的患者,他们在72小时内安排了VACC预约.
- 进行了描述性分析,并比较了VACC与会者和未参加者之间72小时30天后ED复发的风险.
主要成果:
- 在安排VACC预约的309名患者中,有210人 (68%) 出席. 与没有出现的人相比,与会者在72小时 (3.3%对13.1%) 和30天 (16.2%对30.3%) 后返回ED的可能性较低.
- VACC出席与72小时和30天回复ED访问的几率较低显著相关.
结论:
- 试点研究表明,VACC预约优先安排的是年轻,白人,女性,商业保险患者和初级保健医生.
- 出席VACC预约与在72小时30天内返回ED的可能性降低有关.
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