制定儿科候诊时间目标。
Development of pediatric wait time access targets.
机构信息
Department of Surgery, Robert B. Salter Chair of Pediatric Surgical Research, The Hospital for Sick Children, Toronto, Ont., Canada.
出版信息
Can J Surg. 2011 Apr;54(2):107-10. doi: 10.1503/cjs.048409.
BACKGROUND
The effective management of wait times is a top priority for Canadians. Attention to date has largely focused on wait times for adult surgery. The purpose of this study was to develop surgical wait time access targets for children.
METHODS
Using nominal group techniques, expert panels reached consensus on prioritization levels for 574 diagnoses in 10 surgical disciplines for wait 1 (W1; time from primary care visit to surgical consultation) and wait 2 (W2; time from decision to operate to receipt of surgery).
RESULTS
A 7-stage priority classification reflects the permissible timeframe for children to receive consultation (W1) or surgery (W2). Access targets by priority were linked to 574 diagnoses in 10 pediatric surgical subspecialties.
CONCLUSION
The pediatric surgical wait time access targets are a standardized, comprehensive and consensus-based model that can be systematically applied to children's hospitals across Canada. Future research and evaluation on outcomes from this model will evaluate improved access to pediatric surgical care.
背景
有效管理等待时间是加拿大人的首要任务。人们主要关注成人手术的等待时间。本研究的目的是为儿童制定手术等待时间接入目标。
方法
使用名义群体技术，专家小组就 10 个外科专业的 574 个诊断的优先排序级别达成共识，用于等待 1（W1；从初级保健就诊到外科咨询的时间）和等待 2（W2；从决定手术到接受手术的时间）。
结果
一个 7 级优先级分类反映了儿童接受咨询（W1）或手术（W2）的可允许时间框架。根据优先级制定的接入目标与 10 个儿科外科亚专业的 574 个诊断相关联。
结论
儿科手术等待时间接入目标是一个标准化、全面和基于共识的模型，可以系统地应用于加拿大各地的儿童医院。对该模型的结果进行未来研究和评估，将评估对儿科手术护理的改善接入。
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