行为健康访问,手术和入住儿科急诊室的变化
Joel D Hudgins1, Michael C Monuteaux1, Caitlin Kent2
1Department of Emergency Medicine, Harvard Medical School, Boston, MA; Department of Pediatrics, Harvard Medical School, Boston, MA; Division of Emergency Medicine, Boston Children's Hospital, Boston, MA.
Annals of emergency medicine
|November 27, 2024
概括
在儿科急诊室 (PEDs) 增加的心理和行为健康访问与更长的等待时间和护理效率下降相关. 这一趋势使PED在平衡行为健康需求与紧急护理需求方面面临挑战.
科学领域:
- 儿科急救医学 儿科急救医学
- 医疗保健服务研究 医疗服务研究
- 心理和行为健康 心理和行为健康
背景情况:
- 儿童急诊室 (PED) 对心理和行为健康问题的访问在过去十年中显著增加.
- 这种增长给PEDs带来了管理患者流动和护理及时性的运营挑战.
研究的目的:
- 调查儿童精神和行为健康患者的护理时间与PED吞吐量和及时性的关键绩效指标之间的关系.
- 量化行为健康护理需求增加对急诊室运营指标的影响.
主要方法:
- 一项回顾性,单中心,横截面研究分析了从2010年到2022年的PED遭遇.
- 负二项回归模型被用来评估每月行为健康护理时间和操作指标之间的关联,控制整体ED体积.
主要成果:
- 总共有720,914次访问被纳入,其中精神和行为健康投诉占3.2% (22,901次访问).
- 从2010年到2021年,心理和行为健康访问增加了130%以上,专用护理时间增加了1,483%.
- 行为健康护理时间的增加显着与操作和护理及时性指标的恶化有关.
结论:
- 该研究表明,增加心理和行为健康护理时间与PED吞吐量和及时性之间存在显著的负面关联.
- 这些发现强调了PED在整合心理和行为健康护理方面面临的重大挑战,同时为所有患者提供高质量的紧急服务.
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