大接入周:在紧张的医疗保健系统中减少皮肤病患者等待时间
Joint Commission journal on quality and patient safety
|October 22, 2025
概括
达特斯皮肤病学 达特斯皮肤病学
科学领域:
- 皮肤病学 皮肤病学
- 医疗保健管理的管理
背景情况:
- 在美国,不断增长的患者等待名单是一个重大挑战,特别是在农村地区.
- 达特斯皮肤病学院 (Dartmouth Dermatology) 是一家三级护理中心,到2023年9月,它面临着一个相当大的等待名单,有3,654名未见过的患者.
- 长时间的等待时间阻碍了及时获得必要的皮肤病护理.
研究的目的:
- 评估"大访问周"期间实施的新型工作流模式对减少患者等待时间的影响.
- 评估四个方面方法在管理患者流动和增加获得护理的有效性.
- 为了确定短期的,密集的访问计划是否可以保持高质量的患者护理.
主要方法:
- 在2023年12月11日至15日实施达特斯皮肤病学的"大访问周".
- 采用了四个方面的方法:患者分类,社区敏感化,管理患者的期望和操作调整.
- 在一周内看到了1532名患者,包括1180名新患者.
主要成果:
- 访问时间的平均转诊时间减少到98.7天.
- 诊断了124种恶性瘤,包括基底细胞癌,状细胞癌和黑色素瘤.
- 在4分之3的平均患者满意度评分中获得了3.8分之4的平均.
结论:
- 达特斯皮肤病学大访问周工作流程模型成功缩短了等待列表的时间.
- 该倡议证明了改善医疗保健准入的可行性,而不会影响医疗保健质量.
- 这种模型为各种医疗和外科手术子专业面临访问挑战提供了可扩展的解决方案.
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