Röthlisberger Fabian, Boes Stefan, Rubinelli Sara, Schmitt Klaus, Scheel-Sailer Anke
Swiss Paraplegic Centre (SPC), Guido Zäch Strasse 1, 6207, Nottwil, Switzerland.
Department of Health Sciences and Health Policy, University of Lucerne, Frohburgstrasse 3, 6002, Lucerne, Switzerland.
BMC Health Serv Res. 2017 Jun 26;17(1):443. doi: 10.1186/s12913-017-2399-5.
The admission process of patients to a hospital is the starting point for inpatient services. In order to optimize the quality of the health services provision, one needs a good understanding of the patient admission workflow in a clinic. The aim of this study was to identify challenges and potential improvements in the admission process of spinal cord injury patients at a specialized rehabilitation clinic from the perspective of an interdisciplinary team of health professionals.
Semi-structured interviews with eight health professionals (medical doctors, physical therapists, occupational therapists, nurses) at the Swiss Paraplegic Centre (acute and rehabilitation clinic) were conducted based on a maximum variety purposive sampling strategy. The interviews were analyzed using a thematic analysis approach.
The interviewees described the challenges and potential improvements in this admission process, focusing on five themes. First, the characteristics of the patient with his/her health condition and personality and his/her family influence different areas in the admission process. Improvements in the exchange of information between the hospital and the patient could speed up and simplify the admission process. In addition, challenges and potential improvements were found concerning the rehabilitation planning, the organization of the admission process and the interdisciplinary work.
This study identified five themes of challenges and potential improvements in the admission process of spinal cord injury patients at a specialized rehabilitation clinic. When planning adaptations of process steps in one of the areas, awareness of effects in other fields is necessary. Improved pre-admission information would be a first important step to optimize the admission process. A common IT-system providing an interdisciplinary overview and possibilities for interdisciplinary exchange would support the management of the admission process. Managers of other hospitals can supplement the results of this study with their own process analyses, to improve their own patient admission processes.
患者入院流程是住院服务的起点。为优化医疗服务质量，需要深入了解诊所的患者入院工作流程。本研究旨在从跨学科医疗专业团队的角度，识别一家专业康复诊所中脊髓损伤患者入院流程的挑战和潜在改进措施。
基于最大差异目的抽样策略，对瑞士截瘫中心（急症与康复诊所）的八名医疗专业人员（医生、物理治疗师、职业治疗师、护士）进行了半结构化访谈。采用主题分析法对访谈进行分析。
受访者描述了该入院流程中的挑战和潜在改进措施，重点围绕五个主题。首先，患者的健康状况、性格特点及其家庭会影响入院流程的不同方面。改善医院与患者之间的信息交流可加快并简化入院流程。此外，在康复计划、入院流程组织和跨学科工作方面也发现了挑战和潜在改进措施。
本研究确定了专业康复诊所中脊髓损伤患者入院流程的五个挑战主题和潜在改进措施。在规划其中一个领域的流程步骤调整时，有必要考虑对其他领域的影响。改善入院前信息是优化入院流程的首要重要步骤。一个提供跨学科概述和跨学科交流可能性的通用信息技术系统将有助于入院流程的管理。其他医院的管理人员可以通过自身的流程分析来补充本研究结果，以改进自身的患者入院流程。
