对于急性咨询的连续性和地点使用:对后续工作负载的观察性研究
Harshita Kajaria-Montag1, Stefan Scholtes2, Denis Pereira Gray3
1Kelley School of Business, Indiana University, Bloomington, IN, US.
概括
与全科医生的连续护理减少了医院的工作量和急诊室的访问. 看到一个常规的全科医生,而不是局部或非常规的全科医生,导致更好的患者结果和实践效率.
科学领域:
- 一般医疗和初级保健服务.
- 医疗保健服务研究 医疗服务研究
- 患者的治疗结果.
背景情况:
- 一般实践工作负载是一个重大挑战,对可修改因素的理解有限.
- 全科医生连续性和局部状态都会影响患者的治疗结果.
研究的目的:
- 调查实践和医院工作量是否根据所咨询的全科医生类型 (常规,非常规或局部) 不同.
主要方法:
- 对英语通用实践数据 (2015-2017年) 的观察性,横截面分析.
- 使用抗生素处方作为急性咨询的标记.
- 回归模型评估了急诊室访问,住院,转诊,测试订单和GP再诊间隔的风险.
主要成果:
- 与常规的全科医生 (连续性) 进行的咨询显示,与本地医生和非常规的全科医生相比,住院患者较少,急诊室使用率较低.
- 局部GP订购的测试较少;非常规GP订购的测试比常规GP更多.
- 病人看到他们的常规GP有9%更长的再咨询间隔.
结论:
- 全科医生护理的连续性,而不是局部状态,与患者结局的显著差异有关.
- 看到一个GP与连续性减少了实践和医院的工作量.
更多相关视频
04:13Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
Published on: February 8, 2019
6.7K
05:04Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
849
相关概念视频
Observational Studies
8.2K
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
8.2K
Data Collection by Observations
11.7K
Data collection refers to a systematic way of obtaining, observing, measuring, and analyzing accurate information. Observational studies are one of the most widely used methods of data collection. It involves collecting data by observing the behavior and physical characteristics of a sample without making any modifications to the sample.
An astronomer viewing the motion and brightness of stars in the sky and recording the data is an example of observational data collection. A botanist recording...
An astronomer viewing the motion and brightness of stars in the sky and recording the data is an example of observational data collection. A botanist recording...
11.7K
Methods of Documentation II: POMR
905
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
905
Naturalistic Observations
15.4K
If you want to understand how behavior occurs, one of the best ways to gain information is to simply observe the behavior in its natural context. However, people might change their behavior in unexpected ways if they know they are being observed. How do researchers obtain accurate information when people tend to hide their natural behavior? As an example, imagine that your professor asks everyone in your class to raise their hand if they always wash their hands after using the restroom. Chances...
15.4K
Longitudinal Research
11.8K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
11.8K
Nursing Assessment
7.3K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
7.3K
