为医疗保健提供提供新范式的发展:从当天访问中吸取的教训
1Department of Radiation Oncology, University of California, Irvine, Chao Family Comprehensive Cancer Center, Orange, California.
概括
同日预约可以改善癌症护理的准入,减少等待时间. 成功实施需要仔细规划,强有力的领导力和团队沟通来克服运营挑战.
科学领域:
- 医疗保健管理的管理
- 患者获得护理的机会
- 在瘤学瘤学.
背景情况:
- 长时间的临床等待时间是患者的重大关注和公共卫生问题.
- 医疗护理的延迟与较差的患者结果有关.
- 同一天的预约提供了一个以患者为中心的方法,以提高医疗保健的提供.
研究的目的:
- 评估一个单一机构对新诊断的癌症患者同日预约的两年经验.
- 确定关于当天访问的可行性和实施的经验教训.
- 为改善医疗保健安排的质量提供见解.
主要方法:
- 未来的试点倡议为4,301名连续新诊断的癌症患者提供当天预约.
- 对与访问相关的基准指标进行系统分析.
- 追溯审查和解释综合,以确定与可行性,设计和实施相关的主题.
主要成果:
- 14% (477/3,414) 的患者选择了当天预约.
- 显著减少了癌症患者咨询和治疗的时间.
- 在安排,物流,工作流程,资源和文化适应方面发现了挑战.
结论:
- 同一天的预约可以提高门诊护理质量和患者的治疗结果.
- 彻底的准备,以团队为基础的规划和强有力的领导力对于成功至关重要.
- 促进文化变革,标准化指导方针和透明度对于利益相关者参与至关重要.
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