患者访问管理的框架:来自美国卫生系统领导人德尔菲小组的共识
Elizabeth Woodcock1, Chris Profeta2
1Patient Access Collaborative, Emory University Rollins School of Public Health, . elizabeth@elizabethwoodcock.com.
BMC health services research
|April 9, 2025
概括
这项研究定义了患者访问管理,并确定了12个关键决定因素,用于在门诊环境中及时,简单和连接的护理服务. 这些因素对于改善患者的治疗结果和体验至关重要.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 患者访问 患者访问
背景情况:
- 在门诊护理中,患者准入管理至关重要,以防止延迟和改善健康结果.
- 不公平的接入和糟糕的患者体验是次于最佳的接入管理的结果.
- 一个框架列出了获取决定因素,可以帮助卫生系统及时提供护理.
研究的目的:
- 为了定义患者在门诊环境中的准入.
- 识别和记录患者访问管理的决定因素.
- 在这些决定因素上建立访问领导者之间的共识.
主要方法:
- 采用了两阶段的Delphi面板方法.
- 参与者包括来自美国学术卫生系统和儿童医院的访问领导者.
- 在患者访问管理的定义和决定因素上达成共识.
主要成果:
- 建立了以患者为中心的访问管理定义,强调及时,简单和连接的护理.
- 确定了患者获取管理的12个主要决定因素.
- 这些决定因素被映射到基于Donabedian模型的框架中.
结论:
- 卫生系统可以利用处方策略来解决患者获取管理的确定因素.
- 需要进一步的研究才能彻底理解每个决定因素.
- 实施这些战略可以提高及时和公平的护理的提供.
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