为门诊服务重新设计服务:改善等待时间的策略
Simon R E Davidson1, Robin Haskins2, Bridie Ingham2
1Population Health, Hunter New England Local Health District, Wallsend, N.S.W. 2287, Australia; University Centre for Rural Health, School of Health Sciences, University of Sydney, Lismore, N.S.W. 2480, Australia.
Public health
|March 23, 2025
概括
多组件等候名单优化策略显著减少了神经外科门诊服务中逾期患者的数量. 这些发现为管理类似医疗机构的延长等待时间提供了实际解决方案.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床运营管理 临床运营管理
- 公共卫生政策 公共卫生政策
背景情况:
- 神经外科门诊服务往往面临长期等待,影响及时的患者护理.
- 延长的等待时间可能会导致患者不满,并可能导致更差的健康结果.
- 优化等候名单管理对于高效的医疗保健服务至关重要.
研究的目的:
- 评估多元组件等候名单优化策略的有效性.
- 为了减少迟到的神经外科 (脊柱疼痛) 预约的患者比例.
- 评估对门诊神经外科服务等待时间的影响.
主要方法:
- 在澳大利亚一家公共医院的神经外科门诊部进行了一项中断时间序列研究.
- 在三个阶段实施和评估了九个等候名单优化策略:实施前,实施后和实施后.
- 分析了11520名因脊柱疼痛而转诊的成年患者的数据,重点关注逾期比例,长期等待 (>1年) 和等待名单总数.
主要成果:
- 该研究分析了26,928个 (实施前),36,009个 (实施后) 和15,326个 (实施后) 的月度数据点.
- 在实施后阶段,患者迟到预约的比例显著下降 (与实施前相比,下降7%).
- 实施的策略显示了减少患者等待时间的积极趋势.
结论:
- 经过测试的多组件等待列表优化策略有效地减少了神经外科等待列表中逾期患者的比例.
- 这些策略为其他经历延长等待时间的门诊服务提供了一个可扩展的模型.
- 实施等待列表优化是改善获得专业护理的关键.
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