O'Malley R J, Watson-Hopkins M
University of California, Davis, Medical Center, Sacramento 95817.
Air Med J. 1994 Aug;13(8):323-5. doi: 10.1016/S1067-991X(05)80339-6.
With pending changes in the health-care system, there are increasing pressures for each aspect of health care to justify its use. Several organizations, including the Association of Air Medical Services (AAMS), have published position papers listing appropriate indications for air medical services. Additionally, the Commission on Accreditation of Air Medical Services (CAAMS) specifies that air medical services monitor their flights for appropriateness. The purpose of this study was to determine how often the air medical transports by this program met at least one of the AAMS criteria.
The AAMS position paper was paraphrased into an equivalent checklist and a category, "None of the above criteria met," was added. Immediately after each transport, a flight nurse indicated on the checklist which criteria the patient met supported by documentation in the flight care record.
During a one-year period (March 1, 1992 through February 28, 1993), 558 patients were transported. Of these, 547 (98%) met at least one of the AAMS appropriate-use criteria.
The AAMS "Appropriate Use of Air Medical Services" position paper provides a foundation to monitor the utilization of an air medical transport program, which can be used to meet both government payer requirements for justification and the CAAMS requirement for utilization review.
随着医疗保健系统即将发生的变革，医疗保健的各个方面都面临着越来越大的压力，需要证明其使用的合理性。包括空中医疗服务协会（AAMS）在内的几个组织已经发表了立场文件，列出了空中医疗服务的适当适应症。此外，空中医疗服务认证委员会（CAAMS）规定，空中医疗服务要对其飞行的适宜性进行监测。本研究的目的是确定该项目的空中医疗运输符合AAMS标准中至少一项的频率。
将AAMS立场文件改写成一份等效的检查表，并增加了一个类别“未符合上述任何标准”。每次运输后，飞行护士立即在检查表上指出患者符合哪些标准，并在飞行护理记录中有相应文件支持。
在一年期间（1992年3月1日至1993年2月28日），共运输了558名患者。其中，547名（98%）符合AAMS适当使用标准中的至少一项。
AAMS的“空中医疗服务的适当使用”立场文件为监测空中医疗运输项目的使用情况提供了一个基础，可用于满足政府付款人对合理性的要求以及CAAMS对使用情况审查的要求。
