"对门诊预约行为进行细分:一种数据驱动的方法,以了解在专科护理中没有出现,延迟和入诊"
Damla Azakli Yazici1, Ecem Bilensoy1, Ayşe Bahadir1
1Department of Pulmonology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.
概括
预约提醒和患者年龄显著影响门诊诊所的出院率. 有针对性的提醒和个性化安排可以提高诊所的效率并减少医疗保健准入不平等.
科学领域:
- 肺部病理学 肺部病理学
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
背景情况:
- 门诊预约中断,包括没有出现和迟到的患者,会对诊所的效率和公平获得护理产生负面影响.
- 在呼吸护理设置中,患者出勤行为的预测因素尚未得到充分理解.
- 了解这些行为对于优化诊所运营至关重要.
研究的目的:
- 为了确定肺病外科诊所患者出勤行为的预测因素.
- 根据不同的出勤模式对患者子组进行分类.
- 为提高门诊效率和公平性的战略提供信息.
主要方法:
- 一项涉及520名土耳其肺病诊所患者的横截面研究.
- 通过对社会人口统计学,临床,后勤和行为因素的调查收集的数据.
- 后勤回归和无监督集群 (围绕Medoids分区) 用于分析出勤模式和识别患者表型.
主要成果:
- 74.2%的患者是按时的,12.3%的患者迟到,9.2%的患者没有出现,4.2%的患者是无人入院的.
- 年龄较小和缺少预约提醒与不出席有关.
- 确定了三种患者表型:"老年依赖"",年轻自主"和"访问挑战",具有不同的特征和出席行为.
结论:
- 预约提醒和患者年龄是出席率的可操作预测指标.
- 行为细分揭示了不同的患者需求,支持个性化调度策略.
- 实施有针对性的提醒和灵活的系统可以提高门诊效率,减少不平等.
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