医生任命系统中的模式:对3480个英语实践的集群分析
James Scuffell1, Stevo Durbaba2, Mark Ashworth2
1King's College London, School of Life Course and Population Sciences, London, United Kingdom jamie.scuffell@kcl.ac.uk.
概括
英国的一般诊所使用两个主要的预约系统:"常规护理"有更长的等待时间和"同日护理"提供更快的访问. 这些模型会影响患者获取和护理的连续性.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 一般实践管理的管理.
背景情况:
- 英国的一般实践面临着日益增长的任命需求,导致各种任命系统的实施.
- 现有的初级保健提供模式及其特征仍然不清楚.
- 了解这些系统对于管理患者获取和护理公平至关重要.
研究的目的:
- 在英语通用实践中描述初级保健提供的不同模式.
- 识别和描述在一般实践中使用的不同任命系统模型.
- 分析与这些初级保健提供模式相关的因素.
主要方法:
- 使用NHS预约在全科医院数据 (2023年8月至10月) 的横截面研究.
- 整合机器学习方法以基于12项措施 (咨询方式,等待时间,临床医生类型,分组) 的3480个GP实践集群.
- 使用2023年12月数据的验证和使用人口普查和NHS劳动力数据分析实践特征.
主要成果:
- 确定了两个主导模式:"常规护理" (n=2286) 和"同一日间护理" (n=1194).
- "常规护理"实践有利于面对面的预约,非全科医生临床医生,以及更长的等待时间.
- "同日护理"实践利用了电话咨询,全科医生主导的护理,同日预约,并且在人口较年轻,员工较少的城市地区更为普遍.
结论:
- 在英格兰,有两种主要的初级保健模式存在,反映了管理患者接入的不同策略.
- 这些模型对任命系统提出了不同的方法,可能会影响护理的连续性和公平性.
- 需要进一步的研究,以了解这些护理模式对患者结果的长期影响.
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