Tantau Catherine
Tantau & Associates, Chicago Park, CA, USA.
J Ambul Care Manage. 2009 Jan-Mar;32(1):32-43. doi: 10.1097/01.JAC.0000343122.15467.48.
Waits and delays for healthcare are legendary. These delays are not only frustrating and potentially hazardous for patients and providers but also represent significant cost to office practices. The traditional medical model that defines urgent care versus routine care is a vain and futile attempt to sort demand. This approach is at constant odds with patients' definition of urgency. Trusting patients to determine when and how they want to access care makes sense from a customer service perspective. If approached systematically using the principles of Advanced Access, patient demand patterns can be tracked to forecast demand. These demand patterns become the template for deploying the resources necessary to meet patients' needs. Although not a simple journey, the transformation to Advanced Access provides an entree to patient-centered care where patients can say, "I get exactly the care I want and need, when I want and need it."
医疗等待和延误堪称臭名昭著。这些延误不仅让患者和医护人员感到沮丧且可能带来危险,还会给门诊业务造成巨大成本。界定紧急护理与常规护理的传统医疗模式,是对需求进行分类的徒劳无益之举。这种方法与患者对紧急程度的定义始终存在冲突。从客户服务角度来看,相信患者能够决定何时以及如何获得护理是有道理的。如果运用高级访问原则进行系统处理,就可以跟踪患者需求模式以预测需求。这些需求模式成为调配满足患者需求所需资源的模板。向高级访问的转变虽非坦途,但它为以患者为中心的护理提供了途径,在此模式下患者能够说:“在我需要的时候,我能得到我想要且需要的精准护理。”