关于恢复安大略省 COVID-19 大流行相关诊断、筛查和手术积压的建议:医疗保健领导者调查。

IF 1.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
Teagan T Telesnicki, Andrea N Simpson, Charles de Mestral, Nancy N Baxter, David R Urbach, David Gomez
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引用次数: 0

摘要

目的:COVID-19 大流行导致安大略省诊断、筛查和手术严重积压。迫切需要医疗保健领导岗位上的主要利益相关者参与进来,以便为全面的省级恢复战略提供信息:方法:将针对安大略省诊断、筛查和手术积压问题的 20 项政策建议清单转化为一项全国性在线调查。调查采用李克特 7 点量表(非常同意到非常不同意)对政策建议进行评分,并将其分为保留(≥75% 非常同意到比较同意)、放弃(≥80% 比较不同意到非常不同意)和未达成共识。调查参与者包括可能对政策改革产生影响的不同医疗保健领导者:在受邀参与调查的 56 位医疗保健领导者中,有 34 位做出了回复(回复率为 61%)。参与者来自不同的临床背景,包括外科亚专科、医学、护理和医疗保健管理,并担任机构或省级领导职务。在 20 项政策建议中,共有 11 项达到了达成共识的门槛,其余 9 项未达成共识:加拿大医疗保健领导人就 11 项政策建议达成了共识,以解决安大略省诊断、筛查和手术积压问题。建议包括解决患者对预期等待时间的信息需求、扩大卫生和人力资源能力、提高效率以增加手术室产出等策略。对于安大略省公共系统内的最佳筹资战略或实施私人筹资模式的适当性未达成共识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recommendations for Recovery of the COVID-19 Pandemic-related Diagnostic, Screening, and Procedure Backlog in Ontario: A Survey of Healthcare Leaders.

Purpose: The COVID-19 pandemic has resulted in a significant diagnostic, screening, and procedure backlog in Ontario. Engagement of key stakeholders in healthcare leadership positions is urgently needed to inform a comprehensive provincial recovery strategy.

Methods: A list of 20 policy recommendations addressing the diagnostic, screening and procedure backlog in Ontario were transformed into a national online survey. Policy recommendations were rated on a 7-point Likert scale (strongly agree to strongly disagree) and organized into those retained (≥75% strongly agree to somewhat agree), discarded (≥80% somewhat disagree to strongly disagree), and no consensus reached. Survey participants included a diverse sample of healthcare leaders with the potential to impact policy reform.

Results: Of 56 healthcare leaders invited to participate, there were 34 unique responses (61% response rate). Participants were from diverse clinical backgrounds, including surgical subspecialties, medicine, nursing, and healthcare administration and held institutional or provincial leadership positions. A total of 11 of 20 policy recommendations reached the threshold for consensus agreement with the remaining 9 having no consensus reached.

Conclusion: Consensus agreement was reached among Canadian healthcare leaders on 11 policy recommendations to address the diagnostic, screening, and procedure backlog in Ontario. Recommendations included strategies to address patient information needs on expected wait times, expand health and human resource capacity, and streamline efficiencies to increase operating room output. No consensus was reached on the optimal funding strategy within the public system in Ontario or the appropriateness of implementing private funding models.

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来源期刊
Clinical and Investigative Medicine
Clinical and Investigative Medicine 医学-医学:研究与实验
CiteScore
1.50
自引率
12.50%
发文量
18
审稿时长
>12 weeks
期刊介绍: Clinical and Investigative Medicine (CIM), publishes original work in the field of Clinical Investigation. Original work includes clinical or laboratory investigations and clinical reports. Reviews include information for Continuing Medical Education (CME), narrative review articles, systematic reviews, and meta-analyses.
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