通过重新安排德国的医疗保健预约,减少老年人的热风险
Philipp Sprengholz1,2,3, Robert W Bruckmann1,2
1Institute of Psychology, University of Bamberg, Bamberg, Germany.
Preventive medicine reports
|December 1, 2025
概括
将医疗保健预约转移到清晨更凉的时间可以显著减少热浪期间老年患者的热风险. 提供者和患者都愿意重新安排,这使其成为患者安全的实际解决方案.
科学领域:
- 环境健康 环境健康
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 加剧的热浪给健康带来了重大风险,特别是对于那些在炎热天气中参加医疗保健预约的老年人来说.
- 医疗咨询的时间可以加剧脆弱患者群体与热量相关的健康危险.
研究的目的:
- 调查调整医疗保健咨询时间表的可行性,以减轻老年患者与热有关的风险.
- 评估医疗保健提供者和老年患者对重新安排预约的开放性,以避免高温时期的高峰期.
主要方法:
- 分析了与天气数据相关的17619,866个德国医疗保健咨询小时 (2024年夏季).
- 模拟各种调度策略 (提前,推迟,混合) 以评估减少热暴露.
- 对459名医疗保健提供者和259名老年患者进行了关于重新安排态度和实践的调查.
主要成果:
- 15%的咨询发生在警告级高温期间,1%发生在极端警告级高温期间,下午峰值.
- 提前早上和推迟下午的预约大大减少了不安全的热量暴露.
- 虽然59%的诊所可以在上午11点之前容纳老年患者,但很少有人实施了这一点;患者接受早晨重新安排的程度很高.
结论:
- 调整医疗保健预约是一个可行的策略,可以降低老年患者的热风险.
- 提高供应商对热风险的认识可以促进主动重新安排,改善热浪期间的患者保护.
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