在初级保健访问后,患者对延迟的专科随访的看法
Leonor Fernández1, Dru Ricci2, Amie Pollack2
1From the Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (LF, MJA, TS, US, SBS, MA); Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (GDS); Center for Primary Care, Harvard Medical School, Boston, MA, USA (DR, AP, ES, RSP); Healthcare Systems Engineering Institute, Northeastern University, Boston, MA (JB). lfernan1@bidmc.harvard.edu.
Journal of the American Board of Family Medicine : JABFM
|April 23, 2025
概括
许多诊断转诊被推迟或错过,因为患者缺乏关于转诊的重要性的明确沟通,并面临预约安排挑战. 改善临床医生沟通和简化预订流程可以提高推完成率.
科学领域:
- 主要护理医学 医疗保健
- 医疗保健服务研究 医疗服务研究
- 患者沟通 患者沟通
背景情况:
- 诊断测试的转诊在初级保健访问后至关重要.
- 许多患者转诊被推迟或未完成,影响及时诊断.
研究的目的:
- 探索延迟或不完整的诊断转诊的原因.
- 确定影响患者完成推转诊的因素.
主要方法:
- 使用电子健康记录数据审查的定性研究.
- 与那些错过了心脏应力测试或皮肤病学转诊的患者进行半结构面试.
主要成果:
- 患者希望对转诊的理由,价值和期望进行明确的沟通.
- 有效的临床医生与患者的沟通是完成转诊的关键.
- 推预约安排流程往往具有挑战性,并导致延误.
结论:
- 不完整的诊断转诊与患者信息不足和卫生系统"摩擦"相关.
- 易于理解的语言和明确的沟通对于转介的重要性至关重要.
- 需要简化,赋予患者权力的预约预约流程,以减少转诊失败.
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