使用医疗保健连接计划减少低急性患者重复访问急诊室
Mitchell Hoyer1, Kimberly A Stanford2, Ernestina Perez1
1University of Chicago Medicine, Department of Urban Health, Chicago, Illinois.
The western journal of emergency medicine
|August 12, 2025
概括
医疗家庭和专科护理连接计划 (MHSCC) 在计划患者中显著减少了45%的低急性急诊室 (ED) 访问. 这项倡议在改善初级保健使用率和减少非出现性ED使用方面取得了成功.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 对于非紧急问题而言,急救部门 (ED) 的高利用率是一个持续的问题,特别是在医疗补助入学率高的地区.
- 芝加哥大学医学院 (UCM) 的医疗家庭和专科护理连接计划 (MHSCC) 旨在通过将患者与初级保健连接并提供教育来减少这种情况.
- 对类似方案的现有研究显示了不一致的结果和有限的研究时间.
研究的目的:
- 评估MHSCC计划在降低其患者中低急性ED使用率方面的有效性.
- 评估该计划对寻求医疗保健行为和初级保健参与的影响.
主要方法:
- 对MHSCC计划数据 (2012-2020年) 和UCM ED电子健康记录 (2010-2022年) 的回顾性分析.
- 使用威尔科克森签名等级测试,比较注册前后的低急性ED访问率.
- 包括5482名患者和41530名低急性急救诊所的患者.
主要成果:
- 观察到低急性ED访问的显著下降45%,从平均2.5次访问/年干预前到1.38次访问/年干预后 (P<.0001).
- 据估计,由于该计划,在九年内,低急性ED访问减少了9,487次.
- 参与多项计划的患者显示ED访问率略低,低急性患者受益最多.
结论:
- 该MHSCC计划有效地降低了患者群体中低急性需求的ED访问率.
- 建议进行进一步的研究,以探索计划结果,医生转诊机制以及导致这些结果的患者群体特征.
相关概念视频
01:26Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
01:20Integrated Healthcare System
1.8K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.8K
01:30Methods of Documentation VII: EMR
913
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
913
01:30Health Information Technology and Healthcare Information System
917
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
917
01:18Introduction To Health Care Delivery System
3.2K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
3.2K
01:22Healthcare Associated Infections II: Preventive Measures
2.8K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.8K