实施远程医疗服务,为被转诊至急救医疗服务的患者提供远程医疗服务
Francesca Cortellaro1, Lucia Taurino1, Marzia Delorenzo1
1Agenzia Regionale Emergenza Urgenza Headquarters (AREU HQ), 20124 Milano, Italy.
一种新的远程医疗模式,即综合医疗中心 (CMI),有效地管理了71.9%的急诊医疗系统 (EMS) 患者,而无需急诊室 (ED) 访问. 这种创新方法实现了高患者满意度,并减少了住院病例.
科学领域:
- 紧急医疗 紧急医疗
- 远程医疗服务是远程医疗服务.
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,COVID-19疫情后,医院前急救医疗系统 (EMS) 和急救部门 (ED) 的使用量急剧增加.
- 开发一个创新的,远程医疗支持的护理途径,以管理需求的增加.
- 建立综合医疗中心 (CMI) 作为一种新的基于远程医疗的EMS转诊模式.
研究的目的:
- 描述综合医疗中心 (CMI) 的运营活动和成果.
- 评估基于远程医疗的护理模式对EMS转诊患者的有效性.
- 评估远程医疗对患者管理和医院接入的影响.
主要方法:
- 从2022年1月到2022年12月进行的前性观察研究.
- 实施综合医疗中心 (CMI) 来管理被转移到EMS的患者.
- 收集关于通话量,患者管理途径和患者满意度的数据.
主要成果:
- CMI处理了8680个电话,平均每天24个电话.
- 71.9%的患者 (6243) 在没有ED接入的情况下得到治疗.
- 4884名患者仅接受远程医疗评估;1359名患者通过家庭快速反应小组 (HRRT) 调度接受远程医疗,老年人群接受HRRT治疗. 平均满意度得分为9.1/10.
结论:
- 远程医疗使HRRT的远程评估,处方和远程咨询成为可能,显示出高患者满意度.
- 该CMI模型有效地将非紧急病例从ED转移,减少了住院病例.
- 这种远程医疗方法提供了一个可扩展的解决方案,用于在卫生危机期间管理非紧急情况,减轻医院内传播.
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