Thorn Jörgen, Maun Andy, Bornhöft Lena, Kornbakk Malena, Wedham Sofia, Zaffar Mona, Thanner Cathrine
Primary Health Care, Västra Götaland Region, Sweden.
Health Serv Manage Res. 2010 Nov;23(4):166-71. doi: 10.1258/hsmr.2010.010005.
The primary health-care centre (PHCC) participating in the study has had financial problems for several years and it has been particularly difficult to recruit general practitioners (GPs). As a result, the access rate to the PHCC was low. The purpose of this study was to increase the access rate to the PHCC and to make the most efficient use of the staff by introducing a structured patient sorting system. All personnel were involved in the implementation process and participated regularly in interdisciplinary work-groups. A variety of Drop-in receptions were created and a manual for sorting patients by condition was introduced. The main finding was that the total access rate to the PHCC increased by 27% and that each staff member increased their personal access rate by an average of 13%. Eighty-three percent of the patients who were initially treated by the rehabilitation team were treated solely by the team and did not need to see a GP. No medical backlashes were reported. These findings indicate a more efficient use of the personnel. Furthermore, both personnel and patients indicated an improvement in the possibility to book patient appointments after the introduction of the structured patient sorting system.
参与该研究的初级保健中心（PHCC）已经面临数年的财务问题，招募全科医生（GPs）尤其困难。因此，PHCC的就诊率很低。本研究的目的是通过引入结构化患者分类系统来提高PHCC的就诊率，并最有效地利用工作人员。所有人员都参与了实施过程，并定期参加跨学科工作小组。设立了各种即时接待服务，并引入了一份按病情对患者进行分类的手册。主要发现是，PHCC的总就诊率提高了27%，每名工作人员的个人就诊率平均提高了13%。最初由康复团队治疗的患者中有83%仅由该团队治疗，无需看全科医生。未报告医疗不良反应。这些发现表明人员得到了更有效的利用。此外，工作人员和患者均表示，引入结构化患者分类系统后，预约患者就诊的可能性有所改善。
