紧急部门的访问-严重性算法用于立即护理诊所的访问
Jacy E Neczypor1, Talar W Markossian2, Luther Walls3
1Loyola University Chicago, Stritch School of Medicine, Maywood, Illinois.
The western journal of emergency medicine
|January 19, 2026
概括
紧急护理诊所 (ICC) 有效地管理非紧急情况,减少急诊室 (ED) 拥挤. 然而,在不同保险集团之间,在获取和使用方面仍然存在差异.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 立即护理诊所 (ICC) 管理急性,低严重性的访问,转移患者从急诊室 (EDs).
- ED拥挤会对护理质量,效率和患者满意度产生负面影响.
- 优化用于非紧急情况的ICC使用可以减轻ED压力并控制医疗保健成本.
研究的目的:
- 将比林斯/巴拉德严重性算法应用于长达七年的ICC访问.
- 将ICC访问特征和严重程度分布与已公布的ED数据进行比较.
- 确定与ICC使用相关的常见诊断和患者特征.
主要方法:
- 在一个学术卫生系统中,分析了来自125,063名独特患者的306,395次ICC访问.
- 利用负双项和多变量回归分析来评估访问关联和严重程度.
- 疾病国际分类,第九和第十修订 (ICD-9/10) 编码按严重程度分类.
主要成果:
- 9.17%的ICC访问是新兴的,81.25%是非新兴的,与ED分布形成鲜明对比.
- 非突发性表现在ICC中更为常见,上呼吸道感染是常见的诊断.
- 47%的患者重复ICC访问,41%的患者在一年内进行初级保健后续检查.
结论:
- ICC主要提供非紧急护理,支持其在减少ED拥挤中的作用.
- 重复访问和初级护理随访的高率表明护理的连续性.
- 在各类保险中,在ICC使用和紧急情况呈现方面存在差异,需要改进可访问性.
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