及时获得专业门诊护理:应用系统思维可以解锁我们的等待列表吗?
Sue McAvoy1, Agnes Toth-Peter2, Ninad Jagdish3
1Centre for the Business and Economics of Health (CBEH), The University of Queensland, St Lucia, Brisbane, QLD, 4072, Australia. s.mcavoy@business.uq.edu.au.
BMC health services research
|January 23, 2025
概括
在专业门诊服务中审查患者创造了一个隐藏的反循环,加剧了等候名单的增长. 解决这个系统性问题是改善及时获得医疗保健的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 系统思维 系统思维
- 定性研究是一种定性研究.
背景情况:
- 专科门诊 (SOP) 服务面临着不断增长的等待列表的重大挑战.
- 长时间的等待时间会对患者的健康状况产生负面影响.
- 目前管理等待名单的方法往往是不可持续的.
研究的目的:
- 调查检查和重复检查门诊患者在加剧SOP等待列表中的结构性作用.
- 确定有助于在专业护理中延长等待时间的系统驱动因素.
主要方法:
- 使用反系统方法,使用因果循环图 (CLD).
- 通过与各种医疗保健利益相关者的参与性研讨会进行了组建模型 (GMB).
- 将专家心理模型合成系统图表,以可视化门诊病人的动态.
主要成果:
- CLDs揭示了审查和重复审查预约形成了一个隐藏的反循环,有助于等待列表扩展.
- 如果没有有效的解雇计划,这些任命可能会产生恶性循环,增加需求并减少新任命的可用性.
- 患者审查过程显著影响等候名单长度.
结论:
- 反系统的方法提高了对SOP系统的理解,并促进了系统解决方案,而不是反应性的"灭火".
- 确定患者审查过程作为一个杆点,可以帮助管理和减少专家门诊等待列表.
- 实施系统解决方案对于促进及时获得专业护理至关重要.
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