探索驱动非紧急急救部门使用的因素
Carina Mireles-Romo1, Eddie Hernandez1, Isabella Choi1
1Department of Emergency Medicine, UC Irvine Douglas Hospital, Orange, CA, USA.
尽管有过度拥挤的努力,但非紧急紧急情况 (ED) 部门的访问仍然在增加. 患者经常在非紧急问题上使用ED,强调需要更好地对患者进行关于初级保健医生 (PCP) 和急诊中心 (UCC) 等替代护理选择的教育.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 非紧急的急诊室 (ED) 访问大大导致ED过度拥挤.
- 尽管采取措施缓解过度拥挤,但ED用于非紧急情况的使用率仍然很高.
研究的目的:
- 调查影响非紧急急救访问的因素.
- 与ED相比,探索患者对替代医疗服务 (PCP,UCC) 的看法.
主要方法:
- 在一个学术,一级创伤中心对586名患者进行了定性调查.
- 使用紧急严重程度指数 (ESI) 识别非紧急访问的5级分拣敏度度表.
- 分析患者人口统计数据,ED访问的原因以及对ED,PCP和UCC的满意度.
主要成果:
- 共同的主题包括ED可访问性,医生的认知资格和诊断测试的必要性.
- 患者对初级保健医生 (PCP) 和急诊中心 (UCC) 表示普遍满意.
- 尽管对替代方案感到满意,但非紧急的ED访问仍然很频繁.
结论:
- 许多非紧急的ED访问可能可以通过替代医疗保健服务来管理.
- 建议加强患者对适当使用ED的教育,以及PCP和UCC的好处.
- 这些发现支持现有的关于ED使用模式和改善医疗护理导航的需求的文献.
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