合作伙伴:关于学术和社区医院合作伙伴关系的定性研究,以优化出境患者转移和容量
Ruby Marr1, Sachita Shrestha1, David Haughey2
1Department of Internal Medicine, Division of Hospital Medicine, University of Michigan Health, Ann Arbor, Michigan, USA.
Journal of hospital medicine
|August 4, 2025
概括
学术医疗中心 (AMC) 正在制定出境转移计划,以管理容量并确保公平的护理. 成功实施需要解决障碍,促进合作,以改善患者的治疗结果.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 医院运营 医院运营
背景情况:
- 关于医院间转移的现有文献主要侧重于向学术医疗中心 (AMC) 的入口转移,以获得更高水平的护理.
- 医疗保健系统的整合正在推动从AMC到区域附属医院的出境转移计划的发展.
- 本研究探讨了在综合医疗保健系统内患者转移协调的不断变化的局面.
研究的目的:
- 调查来自AMC的出境转账计划的现状.
- 确定影响这些计划成功实施的关键促进者和障碍.
- 了解与出境患者转移相关的运营成功和未来愿望.
主要方法:
- 在美国12个学术医疗中心 (AMC) 进行了半结构化的定性访谈.
- 包括有正式附属的AMC,定义为在倡议或服务上合作的协议.
- 在Nvivo软件中使用诱导和演方法分析了采访数据.
主要成果:
- 确定了五个主要主题:转移活动,实施障碍,实施促进者,成功和愿望.
- 分析了来自美国四大地区的AMC的数据,其床位范围从550床到1700床.
- 关键主题提供了对出境转移计划的运营动态的见解.
结论:
- 出境转移计划在管理能力和确保AMC和医疗保健系统内的高质量,公平的护理方面发挥着至关重要的作用.
- 成功实施方案取决于解决运营效率低下的问题,并促进机构间的合作.
- 优先考虑这些因素可以提高患者的治疗结果,并改善获得及时护理的机会.
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