了解安大略省专科护理患者转诊等待时间：一项回顾性病历审核。
Understanding Patient Referral Wait Times for Specialty Care in Ontario: A Retrospective Chart Audit.
作者信息
Liddy Clare, Nawar Nikhat, Moroz Isabella, Mcrae Shelagh, Russell Christopher, Mihan Ariana, Mckellips Fanny, McLellan Derek, Crowe Lois, Afkham Amir, Keely Erin
机构信息
Clinician Investigator, C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, ON.
Medical Student, Department of Medicine, University of Ottawa, Ottawa, ON.
出版信息
Healthc Policy. 2018 Feb;13(3):59-69. doi: 10.12927/hcpol.2018.25397.
CONTEXT
When examining wait times for specialist care, the duration between a patient's referral and specialist visit (wait time one) is poorly understood.
OBJECTIVES
To calculate wait time one in primary care clinics across Ontario using chart audit.
METHODS
We conducted a retrospective chart audit at five Ontario-based primary care clinics in 2014-2015.
RESULTS
We analyzed 461 referrals. Median wait time one for non-urgent and urgent referrals was 79 and 49 days, respectively. Gastroenterology, obstetrics/gynecology, and ear, nose and throat received the most referrals. Wait times were longest for dermatology (112 days) and shortest for general surgery (32 days).
CONCLUSION
Wait times vary substantially by referral urgency and specialty type in Ontario. Calculating wait time from primary care clinics directly offers new perspectives on wait time one and enables clinics to target improvement efforts to best meet patient needs. Our findings will be relevant to providers and policy makers interested in implementing strategies to reduce wait times.
背景
在研究专科护理的等待时间时，患者转诊与专科就诊之间的时长（等待时间一）尚不清楚。
目的
通过图表审核计算安大略省基层医疗诊所的等待时间一。
方法
2014年至2015年，我们在安大略省的五家基层医疗诊所进行了回顾性图表审核。
结果
我们分析了461份转诊病例。非紧急和紧急转诊的等待时间一中位数分别为79天和49天。胃肠病学、妇产科以及耳鼻喉科收到的转诊病例最多。皮肤科的等待时间最长（112天），普通外科的等待时间最短（32天）。
结论
在安大略省，等待时间因转诊紧急程度和专科类型的不同而有很大差异。直接从基层医疗诊所计算等待时间为等待时间一提供了新视角，并使诊所能够将改进工作的目标对准最能满足患者需求的方面。我们的研究结果将与有兴趣实施减少等待时间策略的医疗服务提供者和政策制定者相关。
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