评估澳大利亚第一家全年龄公立医院运动和运动医学门诊的结果:一项回顾性横断面研究。

Dougal Middleton, Fintan Thompson, Kira James
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引用次数: 0

摘要

目的本研究旨在评估澳大利亚第一家公立医院全年龄运动医学门诊(SEMOC)的结果。方法对2023年3月至10月期间在SEMOC转介和回顾的患者进行回顾性横断面研究。结果包括预约次数、接受复查的患者数量、在昆士兰卫生部推荐的时间框架内接受复查的比例、患者满意度、土著和托雷斯海峡岛民患者比例,以及基于改进的莫纳什偏远模型的患者农村性。结果共有29家诊所,472个分配预约,270名新患者转介到SEMOC(每名患者1.7次预约)。近四分之一(23.7%)的患者被确定为土著和托雷斯海峡岛民,三分之一(31.9%)来自农村或偏远地区。在研究期间,大多数(88.7%)转诊的患者都是在昆士兰州卫生部推荐的时间范围内就诊的,几乎所有转诊进行骨科检查的患者都预约了手术(93.6%)。超过90%的患者对所接受的治疗质量感到满意,并将整体服务评为良好至优秀。结论SEMOC公立医院模式在为肌肉骨骼疾病患者提供护理、帮助面临卫生保健障碍的患者、减少等待时间和改善手术转诊方面是可行的。该模式可能有助于满足澳大利亚对骨科和肌肉骨骼医学日益增长的需求,并在澳大利亚公立医院系统中扩展,成为全国公认的做法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating the outcomes of Australia's first all-age public hospital Sport and Exercise Medicine Outpatient Clinic: a retrospective cross-sectional study.

ObjectivesThis study aimed to evaluate the outcomes of Australia's first public hospital all-age Sport and Exercise Medicine Outpatient Clinic (SEMOC).MethodsA retrospective cross-sectional study of patients referred to and reviewed in the SEMOC, during a study period from March to October 2023, was performed. Outcomes were the number of appointments, number of patients reviewed, proportion reviewed within Queensland Health recommended timeframes, patient satisfaction, proportion of Aboriginal and Torres Strait Islander patients, and the rurality of the patients based on the Modified Monash Model of remoteness.ResultsThere were 29 clinics, 472 allocated appointments, and 270 new patients referred to the SEMOC (1.7 appointments per patient). Almost a quarter (23.7%) of patients identified as Aboriginal and Torres Strait Islander peoples and a third (31.9%) were from rural or remote regions. Most (88.7%) patients referred during the study period were seen within the Queensland Health recommended timeframes, and almost all patients referred on for orthopaedic review were booked for surgery (93.6%). Over 90% of patients were satisfied with the quality of treatment they received and rated the overall service as good to excellent.ConclusionA SEMOC public hospital model has been shown to be feasible for providing care to patients with musculoskeletal conditions, reaching patients who face barriers to health care, reducing wait times, and improving referral for surgery. The model may assist in meeting Australia's growing demand for orthopaedic and musculoskeletal medicine and expand within Australia's public hospital system to become a nationally accepted practice.

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