在国家急诊医学小组中的急诊医生生产率的预测因素
Jonathan J Oskvarek1, Mark S Zocchi2, Bernard S Black3
1US Acute Care Solutions, Canton, OH; Department of Emergency Medicine, Summa Health System, Akron, OH.
Annals of emergency medicine
|March 28, 2025
概括
医生的年龄,任期和班次类型会影响紧急医生的生产力 (每小时的患者). 医生更高的生产率与急诊室入院返回率的增加无关.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健操作 医疗保健操作
- 医生的生产力 医生生产力
背景情况:
- 紧急医生的生产力对于高效的急救部门 (ED) 操作至关重要.
- 影响医生生产力的因素及其对患者结果的影响需要进一步调查.
研究的目的:
- 确定与急诊医生的生产力相关的医生和环境因素.
- 为了确定医生生产率是否与更高的ED复发率相关.
主要方法:
- 分析了来自2,099名医生的234,146个班次,涉及184个ED (2021年1月至2022年12月).
- 多变量线性回归模型检查了医生,班次和设施特征.
- 临床结果包括72小时返回和入院返回.
主要成果:
- 平均生产率为每小时1.94名患者.
- 较年轻的医生和更长的场所占有率与更高的生产率有关.
- 夜班,更多的医生值班,更长的班次和患者登机负面影响了生产力.
- 较高的生产率显示,72小时回报率略有下降,但随着入学,回报率没有显著变化.
结论:
- 医生和轮班级因素显著影响紧急医生患者数量.
- 医生生产率的提高并没有导致急诊室返回入院的比率更高.
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