一个专门的出境调度器与改善诊所利用率和获得护理的机会有关
Meridiana Mendez1, Gemima Nanizao1, Amy C Taylor1
1Division of Urology, Seattle Children's Hospital, Seattle, Washington.
一个专用调度器通过增加新患者的访问和提高利用率,改善了弱势患者的诊所接入. 这种方法增强了对弱势群体的照顾,特别是那些生活在贫困地区的人.
科学领域:
- 获得医疗保健的机会和差距
- 儿科泌尿外联服务中心
- 医疗服务研究 医疗服务研究
背景情况:
- 对于弱势群体来说,获得医疗保健的不平等情况得到了充分记录.
- 导致这些差异的具体因素需要进一步阐明.
- 本研究研究了专用调度器对诊所利用率和患者人口统计学的影响.
研究的目的:
- 评估出境调度系统对诊所利用率的影响.
- 分析患者人口结构的变化,包括区域剥夺,后调度器实施.
- 确定可改善弱势患者群体获得医疗保健的途径.
主要方法:
- 一个儿科泌尿外展诊所的新患者数据在聘请专用调度员之前和之后被分析.
- 记录了临床利用率和人口统计数据,包括区域贫困指数.
- 在调度器之前和之后的时间段进行了比较.
主要成果:
- 在研究期间,临床利用率从93.6%增加到98.9%.
- 每家诊所的新患者访问量增加了39%以上,持续了一年.
- 来自极弱势地区的新患者比例大幅上升 (35.3%的增长).
- 除英语以外的其他语言的患者比例也增加了.
结论:
- 实施专门的出境调度器显著改善了诊所的利用率和访问.
- 这种积极影响在贫困地区的患者中最为明显.
- 建议进行进一步的研究,以优化弱势群体的出境安排.
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