在白内障手术中进行例行手术前评估是初级保健提供者丧的原因
Donna Ron1,2, Michael Zegans3,4, Catherine L Chen5,6
1Department of Community and Family Medicine, Dartmouth Health and Geisel School of Medicine at Dartmouth, Lebanon, NH, USA. Donna.Ron@hitchcock.org.
BMC health services research
|September 17, 2024
概括
初级保健提供者感到沉重的常规白内障手术术术前评估,许多人不知道更新的法规. 简化这些转诊可以减少患者和医疗保健系统的压力.
科学领域:
- 眼科医生 眼科 眼科
- 主要护理医学 医疗保健
- 医疗保健政策 医疗保健政策
背景情况:
- 白内障手术是老年人常见的一种手术.
- 常规的手术前评估不再是CMS对门诊外科中心的强制要求.
- 初级保健提供者 (PCP) 对这一监管变化的看法尚不清楚.
研究的目的:
- 探索PCP对白内障手术常规手术前评估的观点.
- 了解PCP对最新的医疗保险和医疗补助服务中心 (CMS) 规定的认识.
- 在手术前清除过程中识别挑战和机遇.
主要方法:
- 半结构面试的定性分析.
- 与六名初级保健提供者进行的采访.
- 探索PCP经验与白内障手术转诊.
主要成果:
- 对于评估的时间,努力和资源,PCPS表示不满.
- 缺乏对最新法规的认识 (不再需要30天的手术前史和体检).
- 认为没有必要进行常规的手术前评估,耗费资源,给患者带来负担.
结论:
- 对白内障手术进行手术前清除的转诊给提供者,患者和卫生系统带来了负担.
- 有机会简化这种患者群体的护理流程.
- 解决PCP的看法和监管意识对于高效的医疗保健服务至关重要.
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