优化新的泌尿内科咨询:先进实践提供者是关键的关键
Kristina A Burger1, Joseph B Rigdon2, Terra L Schmitt1
1Atrium Health Wake Forest Baptist Women's Care Urogynecology and Pelvic Surgery (Burger, Schmitt, Myers, Stepp, Kaczmarski and Tarr), Charlotte, North Carolina.
Journal of minimally invasive gynecology
|September 14, 2025
概括
先进实践提供者 (APP) 在泌尿外科医学的手术干预计划中与外科医生达到了95%的一致性. 这表明了一个可行的门诊模式,以改善获得泌尿后科护理的机会.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 提供先进实践的提供者.
- 门诊护理模型 门诊护理模型
背景情况:
- 先进实践提供者 (APP) 是泌尿后科实践的组成部分.
- 有限的研究存在于APP集成在门诊泌尿后科的设置.
- 评估APP在新患者咨询中的作用对于优化护理提供至关重要.
研究的目的:
- 评估门诊泌尿后科模型的可行性,其中APP作为新患者顾问.
- 为了确定APP推的手术干预和外科医生推的干预之间的一致率.
- 评估二次结果,包括等待时间和患者满意度.
主要方法:
- 在城市门诊泌尿外科诊所进行的前性可行性研究.
- 包括100名18岁以上的女性,他们寻求新的咨询.
- 主要结果:APP和外科医生之间的手术干预一致性;次要结果:特定的手术方法一致性,咨询等待时间,患者满意度.
主要成果:
- 在手术干预建议的APP和外科医生之间观察到95%的一致性 (95%CI = 0.90-1.00).
- 在30个病例中,29个病例的特定操作方法的一致性为97% (95% CI = 0.85-1.00).
- 初次咨询的平均等待时间为49天,81%的患者报告高满意度.
结论:
- 高一致率 (95%) 表明,在泌尿后科中,一个门诊模式,使用APP作为新患者顾问是可行的.
- 这种模式提供了一种实际的解决方案,以满足对泌尿后科服务的日益增长的需求.
- 在这个角色中整合APP可以提高泌尿后科护理的效率和患者满意度.
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