紧急护理中心减少对急救部门的需求:对已发表的定量和定性研究进行范围审查
Feby Savira1, Madison Frith1, Clarissa J Aditya1
1Institute for Health Transformation, Deakin University, Melbourne, VIC.
The Medical journal of Australia
|May 1, 2025
概括
紧急护理中心,特别是走进和开放后诊所,可以减少急诊室 (ED) 访问和医疗保健费用. 患者满意度很高,但需要教育和培训才能提供最佳的护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 紧急诊所 (ED) 面临着高患者数量的压力.
- 紧急护理中心 (UCC) 是作为非紧急情况的替代方案.
- 了解UCC的影响和患者/从业人员对UCC的体验至关重要.
研究的目的:
- 审查关于UCC对ED表现的影响的研究.
- 探索患者和从业人员对UCC作为替代护理来源的观点.
主要方法:
- 进行了定性和定量研究的范围审查.
- 搜索包括主要的数据库 (MEDLINE,Embase,CENTRAL,PsycINFO,CINAHL) 和灰色文献.
- 包括到2024年8月28日发表的研究.
主要成果:
- 51项研究 (30项定量,21项定性) 符合纳入标准.
- 通常由全科医生领导的UCC主要管理轻微或紧急的非紧急情况.
- 对ED表现的影响是混合的;下班时间和入门中心显示减少.
- 患者满意度很高,与初级保健相提并论;更容易获得是关键驱动因素.
- 临床医生报告说,工作量增加,协调挑战和协议混乱.
结论:
- 无线医疗中心 (UCC),特别是随时入住和开班后的模式,可以减少ED访问和医疗保健费用.
- 患者满意度很高,但需要公共卫生教育来适当地引导患者.
- 加强管理常见的UCC疾病的培训对于持续有效的护理至关重要.
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