MMG Marlow Family Medical Clinic, Marlow, Oklahoma.
Research, Evaluation, and Development, University of South Alabama, College of Nursing, Mobile, Alabama.
J Am Assoc Nurse Pract. 2020 Feb 24;33(4):318-323. doi: 10.1097/JXX.0000000000000377.
Delayed referrals to specialists often result in increased morbidity and mortality.
A time delay in specialist care access of over 1 month identified a gap in efficient care provision in a rural south central United States outreach clinic within a multispecialty group affiliated with a hospital system.
A pilot project with a mixed-methods design that compared the established referral process with direct primary provider referral to a specialist's electronic medical record (EMR) schedule. Authors conducted the study over 16 weeks using a convenience sample size of 74 patients.
Direct primary care nurse practitioner provider to specialist EMR schedule referral based on specialty referral needs.
All electronically referred patients were seen by specialists in less than 1 month.
All electronic specialist referrals were completed more expediently than those referred by the standard process and patients reported an efficient and satisfactory process.
延迟向专家转诊通常会导致发病率和死亡率增加。
在一家与医院系统相关联的多专科集团所属的美国中南部农村外展诊所中，专家护理的等待时间超过 1 个月，这表明在提供高效护理方面存在差距。
采用混合方法设计的试点项目，将既定的转诊流程与直接向专家电子病历（EMR）预约的初级保健提供者进行比较。作者在 16 周内使用便利抽样法对 74 名患者进行了研究。
根据专科转诊需求，由初级保健护士从业者直接向专家的 EMR 预约转诊。
所有通过电子方式转诊的患者都在不到 1 个月的时间内接受了专家的治疗。
所有电子专家转诊的完成速度都比标准流程更快，患者报告说该流程高效且令人满意。
