减少人道主义环境中的患者等待时间:以数据为导向的方法,改善弱势群体获得医疗保健的机会
Eslam Abo Alhawa1, Elise Presser2, Amin Zahwe3
1Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon. eaa37@mail.aub.edu.
Archives of public health = Archives belges de sante publique
|November 11, 2025
概括
在人道主义诊所,特别是难民诊所,患者的延长等待时间导致医疗服务被错过. 预测模型显示持续的延迟,影响到获得基本医疗保健服务.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 人道主义医学 人道主义医学
背景情况:
- 长时间的患者等待时间在人道主义环境中挑战了医疗保健的提供.
- 叙利亚和巴勒斯坦难民以及黎巴嫩国民在黎巴嫩的诊所面临着长时间的等待.
- 本研究探讨了长时间等待对弱势群体的护理质量和健康结果的影响.
研究的目的:
- 为了分析黎巴嫩一家人道主义诊所的患者等待时间.
- 鉴定难民和当地公民因长时间等待而面临的挑战.
- 使用预测模型预测未来的等待时间.
主要方法:
- 分析了从2018年12月到2023年6月的442,332名患者记录.
- 描述性统计总结患者人口统计和等待时间.
- 开发一个自动回归集成移动平均 (ARIMA) 模型来预测等待时间.
主要成果:
- 叙利亚难民占病人的84.6%;在接受护理之前离开的病人的比例为21.4%.
- 平均等待时间为1.4小时;急诊1小时,骨科2小时.
- 自2019年以来,等待时间几乎没有改善;观察到过度拥挤. 阿里马模型实现了0.18.8的RMSE.
结论:
- 长时间的患者等待时间显著阻碍了在人道主义环境中获得护理的机会.
- 患者在咨询前离开诊所是延迟的一个关键后果.
- 需要进一步研究等待时间对患者满意度和系统效率的影响.
相关概念视频
Methods Of Healthcare Delivery System
3.9K
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...
3.9K
Primary Healthcare Services
1.9K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.9K
Introduction To Health Care Delivery System
3.7K
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...
3.7K
Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
Healthcare Associated Infections II: Preventive Measures
3.6K
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...
3.6K
International Nursing Organizations II
1.3K
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
1.3K


