简化初级甲状腺功能障碍症患者的医疗保健准入:质量改善试点计划
Nora O Sheu1, Stefanie J Soelling1, Jake A Awtry1
1Division of Surgical Oncology, Brigham and Women's Hospital, Boston, Massachusetts.
The Journal of surgical research
|July 15, 2025
概括
直接将原发性偏甲状腺症 (pHPT) 患者转诊给内分泌手术显著减少了预约等待时间. 这种加快护理途径简化了对pHPT的外科评估和治疗的访问.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 甲状腺功能障碍症 (HPT) 的评估往往涉及长期的内分泌等待时间.
- 一个试点计划旨在改善初级HPT (pHPT) 患者的准入.
研究的目的:
- 为了比较内分泌外科手术的转诊到预约时间与内分泌学.
- 为了确定是否直接分类到内分泌外科手术,特急医生为pHPT患者提供护理.
主要方法:
- 患有HPT的患者被选为pHPT标准 (Ca ≥10.7,PTH ≥65).
- 符合条件的患者直接转诊为内分泌手术;其他人则转诊为内分泌学.
- 分析了预约时间,人口统计,实验室和手术结果.
主要成果:
- 对内分泌手术的直接转诊导致平均预约时间为28天,而内分泌手术为118天 (P < 0.001).
- 内分泌手术患者的水平较高,但副甲状腺激素水平相似.
- 78.7%的内分泌手术患者接受了副甲状腺手术,而内分泌学患者的这一比例为16.7%.
结论:
- 最初转诊为内分泌手术显著减少了pHPT患者的评估时间.
- 这一途径简化了外科手术的准入,并减少了内分泌学服务的负担.
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