估计在定期健康评估期间进行的临床护理
Jacob H Cole1, Beth Chang2, Moira C McManus2
1Department of Anesthesiology, Uniformed Services University, Bethesda, MD 20814, United States.
Military medicine
|July 3, 2025
概括
大多数军事定期健康评估 (PHA) 是低风险的行政任务. 简化这些查可以每年节省超过三分之一百万个提供者小时,改善医疗准备.
科学领域:
- 军人卫生保健 军人卫生保健
- 预防医学 预防医学
- 医疗保健管理部门的管理.
背景情况:
- 定期健康评估 (PHA) 是现役军事人员的强制性年度查.
- 目前的PHA涉及自我评估,记录审查和临床接触,包括心理健康评估.
- 人们担心许多PHA是行政性的,可能无法识别新的健康问题.
研究的目的:
- 调查海军医疗部队大西洋 (NMFL) 责任区 (AOR) 内"低风险"PHA的流行情况.
- 为了确定PHA流程的潜在工作流程改进.
主要方法:
- 在NMFL AOR内,分析了2022年从MHS MART (M2) 获取的PHA数据.
- "低风险"PHA的定义是那些没有在5天内开始的后续行动 (转诊,实验室,放射学) 的PHA.
- 收集有关提供者工作量和执行PHA的专业的数据.
主要成果:
- 在2022年,857个提供商进行了超过84,000个PHA.
- 大约86.7%的PHA被归类为"低风险",没有后续行动.
- 执业护士,医生助理和其他高级实践提供者执行了大多数PHAs.
结论:
- 目前的PHA流程给医疗保健提供者带来了巨大的行政负担.
- 据估计,每年在低风险的PHA上花费超过333,000个提供者小时,医疗效益最小.
- 减少PHA的行政负担可以为复杂的病例释放临床医生的时间,增强力量和医疗准备.
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