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减少对ED的回归,通过桃体切除术和腺切除术后的聊天计划:结果和成本
Vivian Xu1, Nicole L Aaronson1,2
1Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
术后聊天计划显著减少了儿科桃体切除患者的急诊室 (ED) 访问,特别是那些有沟通问题的人. 然而,该程序的程序.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 医疗信息学 医疗信息学
- 患者教育 患者教育
背景情况:
- 儿科桃体切除术的术后护理通常涉及患者的频繁问题和潜在的并发症.
- 有效的患者教育和沟通对于减少术后急诊室 (ED) 访问至关重要.
- 自动化消息系统为患者支持提供了可扩展的解决方案.
研究的目的:
- 评估桃体切除术后聊天计划对急诊室 (ED) 访问率的影响.
- 为了比较参与和非参与患者之间的ED访问原因.
- 分析聊天程序的成本效益.
主要方法:
- 对1059名小儿桃体切除术患者 (儿童/护理人员双组) 的回顾性图表审查,这些患者参加了短信计划.
- 患者分为参与者 (52.7%) 和非参与者 (47.3%).
- 分析ED访问率,原因 (沟通失误与预期症状) 和成本效益.
主要成果:
- 非参与者由于沟通缺陷而患上术后急救诊所的可能性是9.12倍 (p=0.047).
- 有公共保险的患者的参与率较低.
- 由于避免了ED访问,估计节省的成本无法抵消聊天程序的运营费用.
结论:
- 自动化消息系统显著减少了儿科桃体切除术患者的急救诊所访问和再入院.
- 特别值得注意的是,ED访问的减少是由于通信故障引起的并发症.
- 尽管ED访问减少,但由于计划费用,整体医疗保健费用增加.
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