在退伍军人事务医疗保健系统的初级保健中取消取消
Liam Rose1, Linda Diem Tran, Tracy H Urech
1Health Economics Resource Center, VA Palo Alto Health Care System, 795 Willow Rd, Menlo Park, CA 94025.
The American journal of managed care
|January 23, 2025
概括
在退伍军人事务医疗保健系统 (VA) 中,未使用的初级保健预约很常见,超过10%的预约在预约当天被取消. 患者取消预约是未使用预约的最常见原因.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 未使用的医疗预约会对患者护理和诊所效率产生负面影响.
- 由于临床原因而取消的频率往往被低估.
- 在退伍军人事务医疗保健系统 (VA) 中,未使用的初级保健预约的流行率以前是未知的.
研究的目的:
- 确定VA中未使用的初级保健预约的流行率.
- 为了比较患者发起的取消和临床发起的取消的频率.
- 为了分析VA初级保健机构的没有出现率.
主要方法:
- 追溯性,观察性研究设计.
- 从2018年10月1日到2024年4月1日,对面和虚拟的VA初级保健预约进行分析.
- 同一天取消的取消被分为患者取消,诊所取消和没有出现的类别.
主要成果:
- 在11400万个预约中,超过1190万 (10.87%) 的预约在服务当天被取消.
- 对于面对面的预约,患者取消预约占3.92%,没有出现占3.87%,诊所取消预约占3.08%.
- 与其他医疗保健系统相比,VA显示了与其他医疗保健系统相似的或较低的未使用预约率.
结论:
- 同日取消是VA初级保健的一个重要问题.
- 患者主动取消预约是未使用预约的主要原因.
- 退休人员的预约利用率与其他医疗保健系统相比或更好.
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