评估NHS罢工对通过急诊室的患者流动的影响
Alex Garner1, Quin Ashcroft2,3, Dale William Kirkwood3
1Lancaster Medical School, Lancaster University Faculty of Health and Medicine, Lancaster, Lancashire, UK a.garner2@lancaster.ac.uk.
Emergency medicine journal : EMJ
|December 25, 2025
概括
国家卫生服务 (NHS) 员工在2022-2024年的罢工导致急诊室 (ED) 患者入院速度更快,特别是在初级医生和顾问罢工期间. 这种改善的患者流动可能源于推迟的选择性护理,这表明潜在的系统调整可以减少ED拥挤.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- 国家卫生服务 (NHS) 面临着从2022年12月开始的重大员工罢工.
- 由于2022年至2024年间的罢工,大约有100万个选修预约被取消.
- 索赔表明,在罢工期间,紧急服务部门 (ED) 的运作更有效.
研究的目的:
- 在NHS罢工期间调查患者在急救室的流动情况.
- 分析罢工期间患者到达医院入院的时间变化.
- 为了确定不同突出的职业对ED患者流动的影响.
主要方法:
- 考克斯的比例危险建模被用来分析来自英格兰西北部两个ED的数据.
- 从ED到达到入院的时间被建模,控制系统和患者层面的因素.
- 危险比率 (HRs) 被计算出来,以评估罢工职业对入院时间的影响.
主要成果:
- 观察到超过61个罢工日 (初级医生,护士,顾问,救护车罢工).
- 1型ED患者去看医生的中位时间在罢工日和非罢工日保持相似.
- 在初级医生和顾问罢工期间,患者经历了更快的入院 (HRs:1.12,1.28,p≤0.001),特别是在2型ED中,在顾问罢工期间.
结论:
- 罢工期间改善的患者流量可能归因于延期选择性护理增加的住院患者容量.
- 这些发现表明,NHS医院系统可能需要调整以改善ED的周转时间.
- 可以制定战略,通过优化医院容量和患者流量来减少ED拥挤.
相关概念视频
Methods of Documentation VII: EMR
1.4K
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
1.4K
Standards of Care I
1.0K
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
1.0K
Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K
Barriers to Effective Communication II
4.5K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
4.5K
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
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


