在一个记忆障碍诊所的COVID-19后等候名单减少.
Sydney Hurt1, Ian Moore1, Kalpana P Padala1,2
1Geriatric Research Education and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), Little Rock, AR, United States.
Frontiers in health services
|January 26, 2026
概括
实施新的咨询管理标准显著减少了VA记忆诊所痴呆症评估的等待时间. 这项质量改进项目简化了患者护理,将等待时间从六个月减少到不到一个月.
科学领域:
- 神经心理学 神经心理学
- 老年病的医生 老年病的医生
- 医疗保健管理的管理
背景情况:
- 退伍军人健康管理局 (VA) 的神经心理学家和痴呆症评估团队经历了严重的患者积压,COVID-19大流行加剧了这种情况.
- 长时间的等待列表可能导致患者护理的延迟,因此需要有效的等待列表减少策略.
研究的目的:
- 在中央阿肯色州VA医疗保健系统的跨学科记忆障碍诊所内提高临床效率.
- 实施全面的标准来简化咨询管理和减少患者等待列表.
主要方法:
- 使用了 RE-AIM (覆盖范围,有效性,采用,实施和维护) 框架和实用,稳健的实施和可持续性模型 (PRISM).
- 通过图表审查开发和应用咨询管理标准,有效地推分拣.
- 整合了增加的行政支持和提供者教育.
主要成果:
- 审查了2023年8月至2024年4月期间的195次咨询.
- 大约40%的转诊者成功地被分选为替代服务.
- 从大约6个月的临床等待列表减少到不到1个月的等待列表,结果持续.
结论:
- 实施咨询管理标准显著提高了诊所的效率.
- 优先考虑患者和替代推优化了护理的提供.
- 该QI项目成功地减少了等待列表,并改善了患者获得及时痴呆症评估的机会.
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