减少专科诊所"缺席"率的策略:一个实施框架
Brigette M de Visser1, Tamzin M Dimmock1, Colleen L White1
1Emergency, Virtual Care and Outpatient (EVO) Clinical Program, Alfred Hospital, Prahran, Melbourne, Vic 3181, Australia.
减少患者在专科诊所的不出现是缩短等待时间和更好的护理的关键. 针对性短信和实时预订等干预措施显著降低了不出席 (FTA) 费率.
科学领域:
- 医疗保健管理的管理
- 优化患者流量优化
- 减少临床风险 减少临床风险
背景情况:
- 高比例的患者未能参加专家诊所预约,导致延长等待时间.
- 由于错过预约而延迟的护理带来了重大的临床风险.
研究的目的:
- 调查患者未能参加 (FTA) 专科诊所的驱动因素.
- 评估旨在降低FTA率和提高诊所能力的干预措施.
主要方法:
- 一种混合方法的方法,结合了FTA风险因素的定量分析和患者的定性采访.
- 开发和测试四项干预措施:增加短信频率,实时预订,短信中的行为推动和针对高风险患者的有针对性的沟通.
主要成果:
- 新患者和以前没有出现的患者被确定为FTA的高风险组.
- 定性发现为开发成功降低自由贸易协定税率的干预措施提供了信息.
- 干预措施实现了FTA的净减少,从10.8%到54.9%不等.
结论:
- 一个综合战略有效地降低了专科诊所不出现率.
- 减少FTA可以提高诊所的效率,并减轻与延迟患者护理相关的风险.
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