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优化耳植入物护理:基于时间驱动的活动成本 (TDABC) 分析听力学家和耳鼻科医生工作流程
Eric K Kim1, Kami Pullakhandam2, Brooke Barry1
1Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco, San Francisco, California, USA.
概括
听力学家每位耳植入物 (CI) 接受者花费近6个小时,占员工成本的80%. 简化工作流程和支持听力学家可以改善CI访问和临床医生满意度.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 听力学 听力学是指听力学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 耳植入物 (CIs) 是有效的听力恢复设备,但适合美国成年人的访问仍然有限,特别是由于社会经济差异.
- 了解与CI护理相关的时间和成本对于优化患者获取和支持医疗保健专业人员至关重要.
- 目前的CI护理途径涉及多次手术前和手术后的预约,临床工作人员需要大量的时间投入.
研究的目的:
- 量化整个手术前和手术后耳植入物 (CI) 护理途径的人员时间和相关成本.
- 在CI护理过程中识别特定的时间密集的领域,并为工作流程优化提供机会.
- 探索增强听力学家支持的潜在策略,以提高效率和患者获取.
主要方法:
- 采用了多机构的基于活动的时间驱动成本计算 (TDABC) 分析.
- 直接观察被用来捕捉两个学术三级神经病学中心标准CI护理途径的时间要求.
- 人员成本是使用国家工资数据计算的.
主要成果:
- 整个CI护理途径需要397.5分钟 (6.6小时) 的直接临床医生时间,费用为316.65美元的人事费用.
- 听力学服务占总成本的80% (254.45美元) 和总时间的361分钟.
- 仅手术前听力学评估就占了2.6小时,在不同类型的访问中观察到显著的时间差异.
结论:
- 听力学家在术前期间为每位CI接受者花费大量的直接患者护理时间 (近6小时),占员工成本的大部分.
- 访问时间的显著变化凸显了标准化CI护理流程的机会.
- 实施行政支持,简化文档和优化听力学家的日程安排,可以提高临床医生的满意度,并改善患者对耳植入物的访问.
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