评估转诊到社区慢性疼痛诊所的质量
Angela Mailis1,2, Amna Rafiq2,3, Amol Deshpande4
1Division of Physical Medicine & Rehabilitation, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Canadian journal of pain = Revue canadienne de la douleur
|October 30, 2024
概括
由于初级保健提供者 (PCP) 的信息不完整,许多患者转介到疼痛诊所被拒绝. 提高转诊质量可以简化患者护理,减少员工的工作量.
科学领域:
- 疼痛医学 医学 疼痛医学
- 医疗保健管理的管理
背景情况:
- 患有慢性疼痛的患者往往有复杂的医疗和精神疾病,需要专门的护理.
- 向专业疼痛诊所的转诊是必不可少的,但可能会受到转诊过程中的问题所阻碍.
研究的目的:
- 分析患者转诊到社区疼痛诊所的信息质量.
- 为了确定推被拒绝的医生的特征.
- 了解转诊拒绝的原因以及对患者护理的影响.
主要方法:
- 对被拒绝的新患者转诊的回顾性横截面研究 (2021年11月至2022年6月).
- 用安大略省医生和外科医生学院数据库收集关于推拒绝原因和推医生的数据.
- 对转介重新提交率和在解决缺陷后接受率的分析.
主要成果:
- 从99名医生 (88%的初级保健提供者) 的120个转诊被拒绝.
- 拒绝原因包括信息不足 (62%) 和不适当 (38%).
- 只有46%的被拒绝的转介被重新提交并被接受;一半可能会被接受完整的信息.
结论:
- 由于可以预防的原因,大量的疼痛诊所转诊,主要来自初级保健提供者,被拒绝.
- 提高转诊完整性可以节省大量的员工时间,减少患者护理延误.
- 对转诊过程的简单改进可以改善患者获得专门的疼痛管理的机会.
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