在学术疼痛管理实践中,与患者不出现率相关的因素
Aaron Burshtein1, Paul Shekane2
1Department of Neurology, Mount Sinai West Medical Center, New York, New York, USA.
Pain practice : the official journal of World Institute of Pain
|January 18, 2025
概括
观察到疼痛药预约的高不出现率,特别是在年轻的患者中. 来自其他专家的转诊显著减少了不出现的情况,改善了获得护理的机会.
科学领域:
- 疼痛医学 医学 疼痛医学
- 获得医疗保健 获得医疗保健 获得医疗保健
- 患者的人口统计数据
背景情况:
- 慢性疼痛是一种广泛,复杂的疾病,影响着许多人.
- 了解患者没有出现的模式对于优化疼痛管理诊所运营和患者护理准入至关重要.
研究的目的:
- 为了确定与疼痛管理诊所错过的初始预约相关的患者特征.
- 确定可能提高获得基本疼痛护理服务的因素.
主要方法:
- 对810名患者进行了回顾性分析.
- 从一个学术疼痛管理诊所收集了两年 (2022-2023) 的数据.
主要成果:
- 总的来不及率为57%,安排和约会之间存在很大的延迟 (平均为133天).
- 年轻患者 (≤30岁) 的无症状率最高 (69%),而老年患者 (≥81岁) 的无症状率最低 (49%).
- 从其他医疗专业转诊的患者的无病率 (36%) 与没有转诊的患者 (89%) 相比显著降低.
结论:
- 年轻人群和缺乏专家转诊是关键因素,与疼痛管理中较高的无症状率有关.
- 实施鼓励推专家的策略可以改善慢性疼痛患者的预约出席率和获得护理的机会.
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