为什么患者选择急诊室而不是其他护理选择? 一个多医院分析
Charles W Stube1, Alexander S Ljungberg1, Jason A Borton1
1University at Buffalo, Department of Emergency Medicine, Buffalo, New York.
The western journal of emergency medicine
|December 3, 2024
概括
患者经常选择急诊室 (ED) 由于感知病情严重程度,即使考虑了急诊中心 (UCC) 或初级保健医生 (PCP) 等替代方案. 这凸显了改善症状评估以寻求适当护理的必要性.
科学领域:
- 紧急医疗 紧急医疗
- 获得医疗保健 获得医疗保健 获得医疗保健
- 患者行为 患者行为
背景情况:
- 其他急性护理选择,如初级保健医生 (PCP) 办公室,紧急护理中心 (UCC) 和远程医疗,与急诊部 (ED) 一起存在.
- 目前尚不清楚这些替代方案是否可以减少ED访问,或者在使用ED之前是否考虑使用ED.
- 需要全面了解急性护理环境中的患者决策.
研究的目的:
- 确定影响患者选择前往ED而不是选择其他治疗方案 (UCC,PCP,远程医疗) 的因素和障碍.
主要方法:
- 在纽约布法罗大区的三个医院站点对ED患者进行的一项调查.
- 问题集中在患者选择ED的原因和理由上.
- 医疗记录审查,包括诊断,测试,咨询和处置.
主要成果:
- 在590名接受调查的患者中,25.7%考虑了UCC,3.1%的远程医疗,24.7%尝试了PCP联系.
- 根据PCP和UCC的临床医生建议,分别有20.7%和9.2%的病例导致ED访问.
- 感知疾病严重程度是ED选择的主要驱动因素;14.1%的访问符合可避免的标准.
结论:
- 患者在选择紧急护理时优先考虑感知到的病情严重程度,即使考虑了其他选择,他们也经常选择ED.
- 关于病情严重性的不确定性和临床医生的建议有助于ED利用.
- 研究结果表明,患者对症状严重程度和适当的寻求护理地点的理解存在潜在的差距.
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