初级医疗保健的高级访问及其对急诊室利用的影响:快速审查
Rafael Tannure1,2, Salma Sarkis1, Amanda Peres1
1Faculty of Medicine, University Center of Brasília, Brasília 70790-075, Brazil.
Healthcare (Basel, Switzerland)
|June 26, 2025
概括
在初级医疗保健 (PHC) 调度中实施高级访问 (AA) 可能会减少急诊室 (ED) 的访问. 需要进一步的研究来证实普遍医疗保健系统中的这种关联.
科学领域:
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
背景情况:
- 在初级医疗保健 (PHC) 中,先进的访问 (AA) 调度模型被假设可以减少急诊室 (ED) 的访问.
- 目前支持这一假设的证据有限且不确定.
研究的目的:
- 评估AA模型在PHC中的有效性,以减少ED访问与传统安排相比.
- 综合现有的关于AA对ED利用的影响的文献.
主要方法:
- 一个快速的文献综述,遵循世界卫生组织指导方针.
- 在PubMed和Lilacs数据库中对1980年至2023年间发表的文章进行了搜索.
- 纳入标准集中在评估AA作为干预和ED访问作为结果的研究上.
主要成果:
- 最初的搜索结果为1286篇文章;1245篇文章根据相关性和结果措施被排除在外.
- 八篇文章满足了评估ED访问的初步标准.
- 在最终分析中包括了五项研究,其中三项表明与AA采用相关的ED访问减少.
结论:
- 在初级医疗保健中采用先进的获取方法显示了减少急诊室访问的潜力.
- 进一步的研究至关重要,以充分理解AA实施及其在普遍医疗保健环境中的结果之间的关系.
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