Evaluating the Barriers and Facilitators to Implementing a Novel Referral System for Outpatient Geriatric Services: The Geri-Hub Quality Improvement Initiative.

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES
Health Services Insights Pub Date : 2024-08-30 eCollection Date: 2024-01-01 DOI:10.1177/11786329241274482
Guillaume Lim Fat, Kristina M Kokorelias, Erica Foronda, Bindhu Sadasivan, Lindy Romanovsky
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引用次数: 0

Abstract

Background: In healthcare systems prioritizing care of older adults, resource limitations and escalating demand often impede access to outpatient specialized geriatric services.

Objectives: This study, theoretically guided by the Consolidated Framework for Implementation Research (CFIR), aimed to explore barriers and facilitators in implementing a centralized "Geri-Hub." The Geri-Hub is a centralized intake system established within 2 hospital systems to coordinate outpatient and community-based services for older adults, aiming to connect them with the most appropriate care in a timely manner.

Methods: Qualitative insights were gathered from healthcare professionals at 2 academic institutions in the process of consolidating services. Through open-ended surveys and semi-structured interviews, we solicited feedback on referral management, waiting times, and overall work experiences.

Results: Thirteen frequently referring providers and a cohort of 9 geriatricians, along with 4 administrators, contributed to the study. Geriatricians emphasized streamlined referrals, flexible scheduling for urgent cases, and a target wait time of 3 months. Administrators stressed standardized referral procedures, defined roles, and accessible referral information.

Discussion: The findings underscored the need for straightforward referral processes, enhanced communication on referral statuses, and reduced wait times. Optimizing these processes could potentially mitigate resource utilization issues and improve patient outcomes in healthcare systems. This research highlights the critical role of timely access to geriatric services during transformative phases in healthcare delivery.

评估实施新型老年病门诊转诊系统的障碍和促进因素:老年枢纽质量改进计划》。
背景:在优先照顾老年人的医疗保健系统中,资源限制和不断增长的需求往往阻碍了门诊老年病专科服务的获取:本研究以实施研究综合框架(CFIR)为理论指导,旨在探讨实施集中式 "老年病中心 "的障碍和促进因素。Geri-Hub 是在两家医院系统内建立的一个集中接收系统,旨在协调老年人的门诊和社区服务,及时为他们提供最合适的医疗服务:方法:在整合服务的过程中,从两家学术机构的医疗保健专业人员那里收集定性见解。通过开放式调查和半结构化访谈,我们征求了有关转诊管理、等待时间和整体工作经验的反馈意见:13 名经常转诊的医疗机构和 9 名老年病学专家以及 4 名管理人员参与了研究。老年病科医生强调要简化转诊程序、灵活安排紧急病例的时间以及 3 个月的目标等待时间。管理人员则强调标准化的转诊程序、明确的角色定位和便捷的转诊信息:讨论:研究结果表明,有必要制定简单明了的转诊流程、加强转诊状态的沟通并缩短等待时间。优化这些流程有可能缓解医疗系统中的资源利用问题,并改善患者的治疗效果。这项研究强调了在医疗服务转型阶段及时获得老年病服务的关键作用。
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来源期刊
Health Services Insights
Health Services Insights HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.60
自引率
0.00%
发文量
47
审稿时长
8 weeks
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