一个有针对性的参与和转移计划是否会减少急诊室的利用率?
Rebecca Seliga1, Krishan Yadav2,3, Caroline Hodgins4
1Department of Emergency Medicine, The Ottawa Hospital, Ottawa, ON, Canada. rseliga@toh.ca.
CJEM
|March 22, 2025
概括
针对性参与和转移 (TED) 计划成功地将71.8%的无家可归患者从急诊室转移. 该计划为减少急诊室过度拥挤和改善弱势群体获得医疗保健提供了可行的解决方案.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 紧急医疗 紧急医疗
背景情况:
- 在太华,有针对性的参与和转移 (TED) 计划为在急诊室 (ED) 外的无家可归或庇护所的成年人提供医疗保健服务.
- 紧急部门面临着严重的拥挤,需要为弱势群体提供替代护理模式.
- 了解转移计划的有效性对于优化医疗保健资源配置至关重要.
研究的目的:
- 为了确定TED计划成功从急诊室转移的患者比例.
- 评估TED计划对无家可归者医疗保健利用模式的影响.
- 评估TED计划的可行性,作为一种ED卸载策略.
主要方法:
- 在2022年1月至12月期间参加TED计划的成年患者的回顾性健康记录审查.
- 采用随机抽样方法来解释患者访问的季节性变化.
- 数据是从太华市内卫生数据库和医院记录中提取的,成功的转移是根据特定的临床和服务利用标准定义的.
主要成果:
- 总共审查了241名独特患者的500次访问;71.8% (95% CI 67.7-75.6) 的访问符合成功从ED转移的标准.
- 最常见的表现原因是未指定的中毒 (83.4%).
- 绝大多数转移患者 (82.8%) 在7天内重新访问了TED程序,而只有7.9%在同一时间内访问了ED.
结论:
- 在TED节目中,成功地吸引了患者,并将他们从忙碌的急救处转移.
- 这种护理模式显示出减轻过度拥挤的EDs压力的潜力.
- 该计划可以改善无家可归者获得综合护理的机会,长期成果包括在两年内为39%的患者提供稳定的住房.
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