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2
Decreasing Low Acuity Pediatric Emergency Room Visits with Increased Clinic Access and Improved Parent Education.通过增加诊所就诊机会和加强家长教育来减少低危儿科急诊就诊。
J Am Board Fam Med. 2018 Jul-Aug;31(4):550-557. doi: 10.3122/jabfm.2018.04.170474.
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Seeking ambulance treatment for 'primary care' problems: a qualitative systematic review of patient, carer and professional perspectives.为“初级保健”问题寻求救护车治疗:对患者、护理人员和专业人员观点的定性系统评价
BMJ Open. 2017 Aug 3;7(8):e016832. doi: 10.1136/bmjopen-2017-016832.
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Why Do People Choose Emergency and Urgent Care Services? A Rapid Review Utilizing a Systematic Literature Search and Narrative Synthesis.人们为何选择急诊和紧急护理服务?利用系统文献检索和叙述性综合分析的快速综述
Acad Emerg Med. 2017 Sep;24(9):1137-1149. doi: 10.1111/acem.13220. Epub 2017 Jun 19.
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Wasting the doctor's time? A video-elicitation interview study with patients in primary care.浪费医生的时间?初级保健中患者的视频引出访谈研究。
Soc Sci Med. 2017 Mar;176:113-122. doi: 10.1016/j.socscimed.2017.01.025. Epub 2017 Jan 18.
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Is it a matter of urgency? A survey of assessments by walk-in patients and doctors of the urgency level of their encounters at a general emergency outpatient clinic in Oslo, Norway.这是紧急情况吗?挪威奥斯陆一家普通急诊门诊中,对非预约患者和医生对其就诊紧急程度评估的一项调查。
BMC Emerg Med. 2016 Jul 4;16(1):22. doi: 10.1186/s12873-016-0086-1.
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Community characteristics associated with where urgent care centers are located: a cross-sectional analysis.与紧急护理中心选址相关的社区特征:一项横断面分析。
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Overcrowding in emergency department: an international issue.急诊科过度拥挤:一个国际性问题。
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Demand for hospital emergency departments: a conceptual understanding.医院急诊科需求:概念理解。
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Emergency department use associated with primary care office management.急诊科的使用与基层医疗办公室管理相关联。
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2020年沙特阿拉伯利雅得瓦扎拉特初级卫生保健中心就诊患者对紧急护理服务的认知与利用情况

Awareness and utilization of urgent care services among patients attending Al-Wazarat PHCC in Riyadh, Saudi Arabia 2020.

作者信息

Albalahi Naif Meshal, Al Bargawi Mashael, Kofi Mostafa

机构信息

Resident Family Medicine, Family and Community Medicine Department, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.

Consultant Family Medicine, Family and Community Medicine Department, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.

出版信息

J Family Med Prim Care. 2021 Dec;10(12):4452-4462. doi: 10.4103/jfmpc.jfmpc_1007_21. Epub 2021 Dec 27.

DOI:10.4103/jfmpc.jfmpc_1007_21
PMID:35280610
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8884287/
Abstract

BACKGROUND

Urgent Care Clinics (UCCs) offer unscheduled appointments with a "treat and release" length of visits not exceeding 60 min. The growth of clinics is dictated by patients' demand for quality care that is unscheduled, expedited, and ubiquitous, making them accessible and available.

OBJECTIVES

This study aimed to assess the patient's level of awareness and utilization pattern of UCCs in Wazarat Health Care Center (WHCC) and assess factors associated with them.

AIM

This study aims to provide information contributing to the support of decision-makers about the level of awareness among patients on urgent care services and their pattern of use within primary health care.

METHODS

This cross-sectional study included 288 patients visiting PHC clinics to measure their level of awareness and pattern of utilization using a self-administered questionnaire.

RESULTS

A total of 288 patients participated, 55.99% were females, and the highest percentage was in the age group of 18-38 years at 60.07%. Only one quarter, 73 (25.35%) of the patients were aware of the term urgent clinics, from them, more than a half (53.42%) visited such clinics 1-3 times in the three months before the time of study conduction, and the main cause of the visits was the common cold (25.76%). Less than half of the participants reported visiting the primary clinics without booking an appointment in advance at 44.79%. The reason for this was mainly because of having difficulty booking appointments at 54.55%. Awareness level was the highest (28.32%) among the lowest age group (18-38 years) and decreased gradually by increasing the age. A significantly higher percentage of low educational level participants reported visiting primary clinics without booking an appointment in advance at 51.33% vs. 37.68% of the university and above participants. According to patients ' income, there was a significant (0.023) difference in the awareness level; the highest was among participants with an income of 6000-12000 SAR at 32.86%.

CONCLUSION

Only one-quarter of the studied patients know about the UCCs. More than half of the patients reported visiting these clinics because of difficulties in booking an appointment at the primary healthcare centers and convenience with the services provided at the UCCs. The common cold was the main reason for visiting the UCCs.

摘要

背景

紧急护理诊所(UCCs)提供非预约就诊服务,就诊时长为“治疗并出院”,不超过60分钟。诊所的发展取决于患者对非预约、快速且普遍可得的优质医疗服务的需求,使其易于获得且随时可用。

目的

本研究旨在评估瓦扎拉特医疗中心(WHCC)患者对紧急护理诊所的认知水平和使用模式,并评估与之相关的因素。

目标

本研究旨在为决策者提供信息,以支持他们了解患者对紧急护理服务的认知水平及其在初级医疗保健中的使用模式。

方法

这项横断面研究纳入了288名到初级保健诊所就诊的患者,使用自填式问卷来测量他们的认知水平和使用模式。

结果

共有288名患者参与,其中55.99%为女性,年龄在18 - 38岁组的比例最高,为60.07%。只有四分之一(73名,占25.35%)的患者知晓紧急护理诊所这一概念,其中超过一半(53.42%)的患者在研究开展前的三个月内去过此类诊所1 - 3次,就诊的主要原因是普通感冒(25.76%)。不到一半的参与者(44.79%)表示在未提前预约的情况下前往初级保健诊所就诊。原因主要是预约困难,占54.55%。认知水平在最低年龄组(18 - 38岁)中最高(28.32%),并随着年龄增长逐渐下降。受教育程度低的参与者中,未提前预约前往初级保健诊所就诊的比例显著更高,为51.33%,而大学及以上学历的参与者这一比例为37.68%。根据患者收入,认知水平存在显著差异(0.023);收入在6000 - 12000沙特里亚尔的参与者中认知水平最高,为32.86%。

结论

在研究的患者中,只有四分之一了解紧急护理诊所。超过一半的患者表示因在初级医疗保健中心预约困难以及紧急护理诊所提供的服务便利而前往这些诊所就诊。普通感冒是前往紧急护理诊所就诊的主要原因。