Oliver Reeba, Thakar Ranee, Sultan Abdul H, Phillimore Anne
Mayday University Hospital, 530 London Road, Croydon, Surrey CR7 7YE, UK.
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Aug;20(8):913-7. doi: 10.1007/s00192-009-0878-x. Epub 2009 May 28.
To establish whether a nurse-led urogynecology triage clinic (UTC) is effective in terms of patient journey (from primary referral to first hospital contact until discharge), diagnosis, management, and outcomes.
The case notes of 300 patients attending the UTC in a university hospital between January 2006 and November 2007 were randomly selected for review.
The mean interval from referral to first visit improved from 15.6 weeks (range = 12-32 weeks) to 4.6 weeks (range = 1-11 weeks, SD = 1.97) after UTC. Compared to pre-UTC, the mean period from first visit to final outcome improved from 11 months (range = 3.0-23.0 months) to 8.8 weeks (range = <1-60 weeks, SD = 11.15). Fifty-nine percent were discharged from the UTC without being seen by a specialist.
By service redesigning, the UTC has reduced the number of clinic visits and patient journey time and has also shown that the majority of women with incontinence can be adequately managed by a specialist nurse.
旨在确定由护士主导的泌尿妇科分诊诊所（UTC）在患者就医过程（从初次转诊到首次医院就诊直至出院）、诊断、管理及治疗结果方面是否有效。
随机抽取2006年1月至2007年11月期间在一家大学医院UTC就诊的300例患者的病历进行回顾。
在UTC成立后，从转诊到首次就诊的平均间隔时间从15.6周（范围 = 12 - 32周）缩短至4.6周（范围 = 1 - 11周，标准差 = 1.97）。与UTC成立前相比，从首次就诊到最终治疗结果的平均时间从11个月（范围 = 3.0 - 23.0个月）缩短至8.8周（范围 = <1 - 60周，标准差 = 11.15）。59%的患者在未见到专科医生的情况下从UTC出院。
通过服务重新设计，UTC减少了门诊就诊次数和患者就医时间，还表明大多数尿失禁女性可由专科护士进行充分管理。
