增加连续性,同时促进患者在学术儿科初级保健中获得医疗服务
Mary Carol Burkhardt1, Dominick DeBlasio2, William B Brinkman1
1Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
Academic pediatrics
|February 13, 2026
概括
通过质量改进项目,改善了幼儿 (12-24个月) 护理的儿科连续性. 这一举措成功地提高了连续性率,同时确保了优秀的患者接入,并尊重了家庭的偏好.
科学领域:
- 儿科初级护理专业的儿童初级护理
- 质量改进科学 质量改进科学
- 医疗保健提供系统
背景情况:
- 护理的连续性对于高质量的儿科卫生保健至关重要.
- 幼儿 (12-24个月) 的低连续率在学术环境中构成了挑战.
- 现有的系统往往难以平衡连续性与患者的访问和偏好.
研究的目的:
- 增强学术儿科初级保健机构对幼儿 (12-24个月) 的护理连续性.
- 在两年内将连续性率从0.32提高到0.40.
- 在整个干预过程中,保持特殊的患者接入,并优先考虑患者的偏好.
主要方法:
- 在一个大型的学术儿科实践中实施了一项质量改进 (QI) 项目.
- 干预措施包括家长采访,灵活的安排窗口和征求患者偏好.
- 提供者模板在提前开放,并且在解雇之前安排了预约.
主要成果:
- 主要结果,即12-24个月龄的12-24个月龄的健康访问的连续性,从0.32提高到0.42.
- 没有连续性的儿童的百分比从71%下降到54%.
- 过程测量显示,处置笔记 (62%至88%) 和预定未来约会 (31%至61%) 的增加.
结论:
- 质量改进方法有效地提高了年轻患者的健康儿童访问连续性.
- 该项目成功地保持了高患者接入率,并优先考虑了家庭偏好.
- 这项研究展示了一种可复制的模型,用于增强儿科初级保健连续性.
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