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一项旨在提高联邦合格医疗中心网络的生产力和患者就医便利性的多管齐下举措。

A Multipronged Initiative to Improve Productivity and Patient Access in a Federally Qualified Health Center Network.

作者信息

Cruz Heriberto Eddie, Gawrys Janie, Thompson Donna, Mejia Jairo, Rosul Linda, Lazar Danielle

机构信息

Access Community Health Network, Chicago, Illinois.

出版信息

J Ambul Care Manage. 2018 Jul/Sep;41(3):225-237. doi: 10.1097/JAC.0000000000000230.

DOI:10.1097/JAC.0000000000000230
PMID:29847409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6085125/
Abstract

In 2012, Access Community Health Network, a Federally Qualified Health Center (FQHC) network with 36 health centers serving the greater Chicago area, embarked on a 3-year initiative to improve patient access. "Dramatic Performance Improvement" (DPI) included the adoption of modified open access scheduling and practice changes designed to improve capacity and the ability to balance supply and demand. This article describes DPI implementation, strategies, and associated outcomes, including a 20% decrease in no-show rate, a 33% drop in time to the third next available appointment (TNAA), a 37% decrease in cycle time, and a 13% increase in patient satisfaction.

摘要

2012年,“Access社区健康网络”,一个在大芝加哥地区拥有36家健康中心的联邦合格健康中心(FQHC)网络,启动了一项为期3年的改善患者就医机会的计划。“显著绩效改进”(DPI)包括采用改良的开放式预约安排以及旨在提高能力和平衡供需能力的实践变革。本文描述了DPI的实施、策略及相关成果,包括失约率降低20%,到第三次可预约时间(TNAA)缩短33%,周期时间缩短37%,患者满意度提高13%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4cd/6085125/ae0ef8342077/jamcm-41-225-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4cd/6085125/79aff3e6dcd1/jamcm-41-225-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4cd/6085125/3dfecbc1f565/jamcm-41-225-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4cd/6085125/ae0ef8342077/jamcm-41-225-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4cd/6085125/79aff3e6dcd1/jamcm-41-225-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4cd/6085125/3dfecbc1f565/jamcm-41-225-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4cd/6085125/ae0ef8342077/jamcm-41-225-g003.jpg

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Predictors of repeated "no-showing" to clinic appointments.门诊预约反复“爽约”的预测因素。
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Improving patient flow at a family health clinic.改善家庭健康诊所的患者就医流程。
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