Virtual urgent care in an integrated value based healthcare system

IF 12.4 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Khang Nguyen, Dinh Nguyen, Sinjin Lee, Jin Chang, Yvonne Bach, Kien La, Ferdinand Justus, Tianyuan Shao, Caleb Wang, Mason Kellogg, Raquel Taylor, Alan Evans
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Abstract

Virtual urgent care (VUC) is not well understood when delivered through an integrated value-based healthcare system. The Southern California Permanente Medical Group operates Get Care Now (GCN), a VUC program complementing its urgent care clinics (UCC). Quality and patient experience dimensions are included in this study, comparing GCN and UCC patients. Females and Hispanics/Latinos were predominant in both groups and proportions of patients with chronic conditions were nearly identical within the leading 30–49 age band. Wait times for GCN were 21.19 min lower than for UCC, and positive patient survey results align with GCN’s average Net Promoter Score of 87. 3-day return rates to the ED (2.53% GCN vs. 3.26% UCC) and to UCC (5.44% GCN vs. 2.42% UCC) were comparable between GCN and UCC utilizers. Findings demonstrate that 24/7 VUC sustainably supports meeting patient demand for urgent care services in an integrated value-based system.

Abstract Image

基于综合价值的医疗保健系统中的虚拟紧急护理
虚拟紧急护理(VUC)不是很好理解,当通过一个综合的基于价值的医疗保健系统提供。南加州永久医疗集团(Southern California Permanente Medical Group)运营着“立即就医”(Get Care Now, GCN),这是一个补充其紧急护理诊所(urgent Care clinics, UCC)的VUC项目。本研究包括质量和患者体验两个维度,比较GCN和UCC患者。女性和西班牙裔/拉丁裔在两组中都占主导地位,在30-49岁的主要年龄组中,慢性疾病患者的比例几乎相同。GCN的等待时间比UCC低21.19分钟,阳性患者调查结果与GCN的平均净推荐值87相一致。GCN和UCC使用者的3天回访率(GCN为2.53%,UCC为3.26%)和UCC为5.44%,UCC为2.42%)具有可比性。研究结果表明,24/7 VUC可持续地支持在基于价值的综合系统中满足患者对紧急护理服务的需求。
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来源期刊
CiteScore
25.10
自引率
3.30%
发文量
170
审稿时长
15 weeks
期刊介绍: npj Digital Medicine is an online open-access journal that focuses on publishing peer-reviewed research in the field of digital medicine. The journal covers various aspects of digital medicine, including the application and implementation of digital and mobile technologies in clinical settings, virtual healthcare, and the use of artificial intelligence and informatics. The primary goal of the journal is to support innovation and the advancement of healthcare through the integration of new digital and mobile technologies. When determining if a manuscript is suitable for publication, the journal considers four important criteria: novelty, clinical relevance, scientific rigor, and digital innovation.
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