在免费诊所环境中,放射学转诊模式
Mensur Koso1, Pari Pandharipande2, Ilona Ovestrud1
1Columbus Free Clinic, Columbus, OH 43201, United States of America; The Ohio State University College of Medicine, Columbus, OH 43210, United States of America.
Clinical imaging
|March 27, 2025
概括
在城市免费诊所中,成像推完成率很低,只有48%的订单成功完成. 现场服务,如护理点超声波 (POCUS) 和移动乳房扫描,显著提高了服务不足的患者的完成成功率.
科学领域:
- 放射学和医学成像学 医学成像学
- 公共卫生 公共卫生
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 缺乏服务的群体面临着很大的障碍,无法及时获得医学成像.
- 免费诊所在为弱势患者群体提供医疗保健方面发挥着至关重要的作用.
- 了解成像转诊完成过程对于确保公平护理至关重要.
研究的目的:
- 评估城市免费诊所成像推的完成率.
- 确定与转诊完成相关的患者和成像特异性因素.
- 评估不同成像服务交付模式对完成率的影响.
主要方法:
- 从2017年1月到2022年12月,对882个成像转诊订单进行了回顾性分析.
- 在一个城市,门诊,免费诊所进行的研究.
- 对现场 (POCUS,移动乳房造影) 与现场外成像服务的完成率进行比较.
主要成果:
- 整体成像转诊完成率为48% (424/882).
- 超声波的完成率最高 (59%),其次是X射线 (45%) 和乳房学 (37%).
- 现场服务的成功率为77%,明显高于现场服务 (p < 0.0001).
- 未知种族/种族或语言偏好的患者的转诊完成率较低 (p < 0.0001).
结论:
- 低成像转诊完成率凸显了为服务不足的人群提供一致护理的挑战.
- 移动和照顾点成像服务显示出改善访问和完成的巨大潜力.
- 需要进一步的干预来优化免费诊所患者的成像护理途径.
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