Mitchell Rachael, Jacob Hannah, Morrissey Benita, Macaulay Chloe, Gomez Kumudini, Fertleman Caroline
Department of Paediatrics, University Hospital Lewisham, London, UK.
Department of Paediatrics, The Whittington Hospital, London, UK.
Arch Dis Child Educ Pract Ed. 2017 Aug;102(4):200-206. doi: 10.1136/archdischild-2016-311414. Epub 2017 Mar 9.
Although a great deal of paediatric consultations are not urgent, doctors in training spend so much time providing service for acute conditions that they spend little time focusing on outpatient work before they become a consultant. Engaging clinicians in the managerial aspects of providing clinical care is a key to improving outcomes, and this article addresses these aspects of the outpatient consultation from referral to discharge. We aim to provide doctors in training with a tool to use during their training and their first few years as a consultant, to think about how outpatient work is organised and how it can be improved to maximise patient experience. The non-urgent consultation varies across the world; this article is aimed to be relevant to an international audience.
尽管大量儿科会诊并非紧急情况,但实习医生花费大量时间处理急症,以至于在成为专科医生之前,他们几乎没有时间专注于门诊工作。让临床医生参与临床护理的管理工作是改善治疗效果的关键,本文将探讨门诊会诊从转诊到出院的各个方面。我们旨在为实习医生提供一种工具,以便他们在培训期间以及成为专科医生的头几年使用,帮助他们思考门诊工作是如何组织的,以及如何改进以最大限度地提升患者体验。非紧急会诊在世界各地存在差异;本文旨在对国际读者具有参考价值。