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2.5年过去了:急诊科“频繁就诊者”服务的效果如何?

2.5 years on: what are the effects of a 'frequent attenders' service in the Emergency Department?

作者信息

Sousa Soraia, Hilder Tracey, Burdess Christopher, Bolton Philippa

机构信息

Lanchester Road Hospital, Durham, UK.

University Hospital North Durham, Durham, UK.

出版信息

BJPsych Bull. 2019 Jun;43(3):112-116. doi: 10.1192/bjb.2019.8. Epub 2019 Feb 20.

Abstract

This study focused on an evaluation over 2.5 years to establish if a frequent attenders' service in an Emergency Department (ED) impacted on the overall number of patients attending as well as the numbers of their attendances. For this, three patient lists from April-September 2015 and three lists from a matched period in 2017 were randomly selected and the two samples compared. Results showed both a reduction in the number of total patients identified as frequent attenders as well as a reduction on the number of attendances to ED. The study suggests that the implementation of a frequent attenders' service is associated with benefits, not only for the individual attendances per patient, but also in an overall reduction of the number patients classed as frequent attenders.Declaration of interestThe authors have no conflict of interest to declare regarding this manuscript.

摘要

本研究重点评估了为期2.5年的急诊科常客服务是否会对就诊患者总数及其就诊次数产生影响。为此,随机选取了2015年4月至9月的三份患者名单以及2017年同期的三份名单,并对这两个样本进行比较。结果显示,被认定为常客的患者总数有所减少,同时急诊科的就诊次数也有所减少。该研究表明,实施常客服务不仅对每位患者的个人就诊次数有益,而且还能总体减少被归类为常客的患者数量。利益声明作者声明与本稿件不存在利益冲突。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f7f/8058880/27119571f3ea/S2056469419000081_fig1.jpg

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