选择性集中预订,作为集中转诊的低成本替代方案。

IF 2.2 4区 医学 Q2 SURGERY
Canadian Journal of Surgery Pub Date : 2024-08-01 Print Date: 2024-07-01 DOI:10.1503/cjs.002622
Taryn Zabolotniuk, Chad Rideout, Hamish Hwang
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引用次数: 0

摘要

摘要集中转诊系统已成功实施,以缩短和均衡手术等待时间;然而,持续的费用使这些项目的持续开展面临挑战。我们于 2019 年 7 月至 11 月在一家社区医院试行了一项低成本的疝气手术集中预约项目。符合条件的患者(即腹股沟或脐部疝气可见或可触及,且同意进行开放式网片修补术的患者)在初诊后会被预约给第一位可用的外科医生。集中预约的腹股沟疝或脐疝患者平均等待时间分别为 82 天(标准差 [SD] 32)和 80 天(标准差 66),而未使用集中预约系统的患者平均等待时间分别为 137 天(标准差 89)和 181 天(标准差 92)。集中预约提高了手术室的利用率,因为当最后一刻取消手术时,有更多的病人可以呼叫;集中预约还有效地均衡了6名外科医生的候诊时间。选择性集中预约是一个很有前景的概念,它能更有效地利用手术室的可用时间,并显著减少等待时间;该系统有可能改善所有等待普外科手术的患者的就医条件,而无需额外的资金投入。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Selective centralized booking as a low-cost alternative to centralized referral.

SummaryCentralized referral systems have been successfully implemented to shorten and equalize surgical wait times; however, ongoing expenses make sustaining these projects challenging. We trialed a low-cost centralized booking project for hernia surgery in a community hospital from July to November 2019. Eligible patients (i.e., those with visible or palpable inguinal or umbilical hernias who were agreeable to an open mesh repair) were booked with the first available surgeon after initial consultation. Centrally booked patients with either inguinal or umbilical hernias waited a mean of 82 (standard deviation [SD] 32) and 80 (SD 66) days, respectively, while those who did not use the centralized system waited 137 (SD 89) and 181 (SD 92) days, respectively. Centralized booking increased operating room utilization as a larger pool of patients was available to call when last-minute cancellation occurred; centralized booking also effectively equalized wait-lists among 6 surgeons. Selective centralized booking is a promising concept that led to more efficient utilization of available operating room time with a significant decrease in wait times; this system could potentially improve access for all patients awaiting general surgery without requiring additional funding.

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来源期刊
CiteScore
3.00
自引率
8.00%
发文量
120
审稿时长
6-12 weeks
期刊介绍: The mission of CJS is to contribute to the meaningful continuing medical education of Canadian surgical specialists, and to provide surgeons with an effective vehicle for the dissemination of observations in the areas of clinical and basic science research.
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