通过提高质量,为缺乏服务的儿童提供公平的类风湿病护理
Sheetal S Vora1,2,3, Sarah C Mabus3, Talia L Buitrago-Mogollon3,4
1Division of Rheumatology, Department of Pediatrics, Atrium Health Levine Children's Hospital, Charlotte, NC, United States.
Frontiers in pediatrics
|October 30, 2024
概括
这项质量改善项目增强了在服务不足的人群中早期发现儿科类风湿病的方法. 快速识别和转介过程增加了患者转介,确保及时获得专业护理.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 提高质量 提高科学 提高质量
- 健康 公平 卫生 公平
背景情况:
- 服务不足的儿科患者群体经常面临延迟或错过的类风湿病的诊断.
- 安全网初级保健诊所为没有私人保险的家庭提供服务,强调需要改善获得专业护理的机会.
- 早期识别和干预对于管理儿科风湿病和预防长期并发症至关重要.
研究的目的:
- 实施一个质量改进项目,旨在在服务不足的儿科群体中识别患有风湿病的儿童.
- 通过优化安全网初级保健诊所内的识别和转诊流程,防止延迟或错过诊断.
- 确保迅速和准确的诊断和随后的风湿症状的治疗.
主要方法:
- 与安全网诊所的提供者合作,完善识别和小专业转诊流程.
- 使用改善模型框架,使用快速的计划-做-研究-行动 (PDSA) 周期.
- 员工运行和统计过程控制图表用于评估推率的改善.
主要成果:
- 增加了潜在的类风湿性疾病的患者转诊,从前5年的零增加到项目启动1年内的15个.
- 风湿病诊所成功管理了转诊量增加,在20个工作日内看到了所有优先患者.
- 在识别和转诊儿科患者有类风湿病的担忧方面显著改善.
结论:
- 在安全网设置中,提高提供者对类风湿症状的认识是关键.
- 使用视觉辅助和决策支持工具有助于有效和准确的患者识别和转诊.
- 改进的流程确保了弱势群体及时获得儿科风湿病学子专业护理.
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