1 Aarhus University, Aarhus, Denmark.
2 Regional Hospital Viborg, Viborg, Denmark.
Qual Health Res. 2018 Nov;28(13):2059-2070. doi: 10.1177/1049732318779046. Epub 2018 Jun 11.
When setting up patient pathways that cross health care sectors, professionals in emergency units strive to fulfill system requirements by creating efficient patient pathways that comply with standards for length of stay. We conducted an ethnographic field study, focusing on health professionals' collaboration, of 10 elderly patients with chronic illnesses, following them from discharge to their home or other places where they received health care services. We found that clock time not only governed the professionals' ways of collaborating, but acceleration of patient pathways also became an overall goal in health care delivery. Professionals' efforts to save time came to represent a "monetary value," leading to speedier planning of patient pathways and consequent risks of disregarding important issues when treating and caring for elderly patients. We suggest that such issues are significant to the future planning and improvement of patient pathways that involve elderly citizens who are in need of intersectoral health care delivery.
当设置跨越医疗保健部门的患者路径时，急诊室的专业人员努力通过创建符合住院时间标准的高效患者路径来满足系统要求。我们进行了一项关于急诊室专业人员协作的人种学实地研究，重点关注 10 名患有慢性病的老年患者，从他们出院到他们的家或其他接受医疗服务的地方对他们进行跟踪。我们发现，时钟时间不仅控制着专业人员协作的方式，而且加速患者路径也成为医疗保健服务提供的总体目标。专业人员节省时间的努力代表了一种“货币价值”，这导致了更快速地规划患者路径，并在治疗和护理老年患者时产生了忽视重要问题的风险。我们认为，这些问题对于未来需要跨部门医疗保健服务的老年公民的患者路径的规划和改进具有重要意义。
