在COVID-19大流行期间的设施间患者转移:混合方法研究
Michael B Henry1, Emily Funsten2, Marisa A Michealson2
1Creighton University Arizona Health Education Alliance, Maricopa Emergency Medicine Residency, Phoenix, Arizona.
The western journal of emergency medicine
|September 25, 2024
概括
最近实施的转移中心可能有助于医院在COVID-19大流行期间管理患者转移. 这些中心显示出持续使用的潜力,以促进患者转移和改善工作流程.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- 美国缺乏协调医院间患者转移的国家系统.
- 随着COVID-19大流行,医院面临巨大压力,在转移患病患者方面面临重大挑战.
研究的目的:
- 探索临床医生与新实施的转移协调中心的经验.
- 评估转移中心对COVID-19大流行期间患者转移困难的影响.
主要方法:
- 一种混合方法的方法,结合了全国调查和深入的定性访谈.
- 2021年3月,美国紧急医生学院对紧急医疗实践研究网络 (EMPRN) 进行的国家调查.
- 与亚利桑那州和新墨西哥州的管理人员和农村紧急诊所医生进行的半结构面试 (2021年9月至12月).
主要成果:
- 只有30%的调查受访者报告在COVID-19期间实施或扩大转移协调中心.
- 拥有新转移中心的医院报告转移困难没有变化,而没有转移困难的医院则增加了困难.
- 定性访谈揭示了先前存在的资源限制,大流行期间增加的转移距离,积极的工作流的影响以及继续使用中心的潜力.
结论:
- 转移中心可能已经减轻了与流行病相关的患者转移挑战.
- 持续获得转移协调服务可能特别有利于经常转移患者的临床医生.
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