AlShareef Yasir, AlShammary Sami A, Abuzied Yacoub, AlAsseri Yahya, AlQumaizi Khalid I
Department of Surgery, College of Medicine, Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.
Department of Palliative Care, Comprehensive Cancer Center, King Fahad Medical City, Riyadh, Saudi Arabia.
Int J Health Sci (Qassim). 2022 Mar-Apr;16(2):27-31.
During the COVID-19 pandemic, there was a significant decrease in the number of operated elective cases due to the shutdown procedures. This situation created a substantial surgical backlog. Several visits are generally necessary before a surgical decision making and booking the surgery time. Improving patient access by creating "one-stop" clinics might help decrease the number of visits before the surgery. This study investigated the effect of one-stop clinic application as a new care model on COVID-19 surgical backlog clearance.
We conducted a quasi-experimental, interrupted time-series, pretest-posttest study design in the northern areas of Saudi Arabia. The study outcomes were the number of surgeries and the time elapsed from the first seen day to the booked room day.
A total of 358 surgeries were included. Of them, 107 (29.9%) surgeries were performed before initiation of the one-stop clinic and 251 (70.1%) after initiation. The median (quartile Q1, Q3) time elapsed from the first seen day until the booked OR day post-one-stop clinic was 10 (6-17), which was significantly lower than pre-one-stop clinic 20 (11-33), < 0.0001.
One-stop clinics shortened the period between first visit and booking in the operating room. One-stop clinics may alleviate the surgical backlog resulting from the COVID-19 crisis.
在新冠疫情期间，由于关闭程序，择期手术病例数量显著减少。这种情况造成了大量的手术积压。在进行手术决策和安排手术时间之前，通常需要多次就诊。通过设立“一站式”诊所改善患者就医途径可能有助于减少手术前的就诊次数。本研究调查了作为一种新的护理模式的一站式诊所应用对新冠手术积压清理的影响。
我们在沙特阿拉伯北部地区进行了一项准实验性、中断时间序列、前后测研究设计。研究结果是手术数量以及从首次就诊日到预订手术室日所经过的时间。
共纳入358例手术。其中，107例（29.9%）手术在一站式诊所启动前进行，251例（70.1%）在启动后进行。一站式诊所后从首次就诊日到预订手术室日所经过的时间中位数（四分位数Q1，Q3）为10（6 - 17）天，显著低于一站式诊所前的20（11 - 33）天，P < 0.0001。
一站式诊所缩短了首次就诊与预订手术室之间的时间间隔。一站式诊所可能缓解新冠疫情危机导致的手术积压。
