Wall Josh, Ray Simon, Briggs Tim Wr
London School of Anaesthesia, London, UK.
Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
Future Healthc J. 2022 Jul;9(2):144-149. doi: 10.7861/fhj.2022-0053.
The delivery of elective care needs to be reimagined to tackle the increasing demand for services that is currently outstripping the available capacity; a problem exacerbated by the impact of the COVID-19 pandemic. This article highlights key strategies to improve the delivery of elective care combined with local and national examples of best practice. It is based on key recommendations from the Getting It Right First Time (GIRFT) programme: the UK's largest healthcare quality improvement programme operating across 42 clinical specialties. GIRFT has visited every integrated care system in England over the last 12 months to discuss elective recovery and the learning from these visits is captured in this article. Rethinking the delivery of elective care, utilising advances in technology, and harnessing the power of data to identify unwarranted variation and targeted areas for improvement, will dramatically change the future delivery of elective care for the better.
需要重新构想择期医疗服务的提供方式，以应对目前超出可用能力的不断增长的服务需求；新冠疫情的影响使这一问题更加严重。本文重点介绍了改善择期医疗服务提供的关键策略，并结合了地方和国家层面的最佳实践案例。它基于“一次做对”（GIRFT）计划的关键建议：这是英国规模最大的医疗质量改进计划，涵盖42个临床专科。在过去12个月里，GIRFT走访了英格兰的每一个综合医疗系统，以讨论择期医疗服务的恢复情况，本文记录了从这些走访中吸取的经验教训。重新思考择期医疗服务的提供方式，利用技术进步，并利用数据的力量来识别不必要的差异和有针对性的改进领域，将极大地改善择期医疗服务的未来提供情况。
