提高农村计划生育诊所对高危妇女衣原体筛查的有效性。

IF 0.2 Q4 NURSING
Vanessa Shields-Haas, Carla Bray
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引用次数: 0

摘要

背景:衣原体是美国最常见的细菌性传播感染(STI),每年有170万例感染。据估计,终生医疗费用为6.91亿美元。目的:该项目的目标是在90天内提高农村计划生育诊所对衣原体感染风险妇女的有效护理至80%。方法:采用计划-实施-研究-实施的质量改进(QI)流程,分4个2周周期实施。定性和定量数据被反复收集和分析,并为每个周期的变化测试提供信息。结果:结果显示有效护理较基线改善42%-81%。患者就诊时间从基线时的38分钟减少到23分钟。与实施前相比,衣原体检测阳性结果从3个增加到6个,阳性率增加了一倍,而收费的衣原体检测次数增加了32%。结论:本项目成功提高了患者的有效护理水平。实施标准化风险评估减少了患者就诊时间。对护理的影响:旨在达到性传播感染筛查国家标准的卫生服务质量项目可在农村卫生诊所以低成本和高效果实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving Effective Chlamydia Screening for Women at Risk at a Rural Family Planning Clinic.

Background: Chlamydia is the most common bacterial sexually transmitted infection (STI) in the United States, with an incidence of 1.7 million infections annually. It results in an estimated $691 million in lifetime medical costs. Objective: The objective of the project was to improve effective care for women at risk of chlamydia infection in a rural family planning clinic to 80% in 90 days. Methods: The Plan-Do-Study-Act process of quality improvement (QI) was implemented over four 2-week cycles. Qualitative and quantitative data were collected and analyzed iteratively and informed tests of change for each cycle. Results: Results indicated an improvement in effective care from a baseline of 42%-81%. Patient visit time decreased from 38 minutes at baseline to 23 minutes. Compared with pre-implementation, the number of positive chlamydia test results went from three to six, doubling the positivity rate, while the number of chlamydia tests billed increased by 32%. Conclusions: This project was successful in improving effective care. Implementing a standardized risk assessment decreased patient visit time. Implications for nursing: QI projects directed at meeting national standards for STI screening can be implemented in rural health clinics at low cost and with high impact.

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CiteScore
0.60
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