新不伦瑞克省养老院居民的 X 光片使用情况：移动 X 光是否可行？
Nursing Home Residents' Use of Radiography in New Brunswick: A Case for Mobile Radiography?
机构信息
Candidate, Dalhousie University Medicine, Saint John, NB, Primary Care Paramedic, Ambulance New Brunswick.
Professor, Department of Nursing and Health Sciences, University of New Brunswick, Saint John, NB.
出版信息
Healthc Policy. 2023 Feb;18(3):31-46. doi: 10.12927/hcpol.2023.27036.
INTRODUCTION
Identifying ways to eliminate unnecessary transfer of nursing home (NH) residents to hospitals provides an opportunity to improve outcomes and use scarce healthcare resources more efficiently. This study's goal was to better understand where NH residents access X-ray (XR) and computed tomography (CT) scans and to determine if there was a case for mobile radiography policies in New Brunswick.
METHODS
A retrospective analysis of all the visits to the emergency department (ED) and outpatient imaging departments in two hospitals in Saint John, New Brunswick, in 2020, that involved XR or CT investigations was conducted.
RESULTS
There were 521 visits by 311 unique NH residents and 920 investigations (688 XR and 232 CT scans). Most investigations were ordered in the ED (696 of 920; 75.6%; confidence interval: 72.8-78.3%). Of the NH residents who visited the ED and received either an XR or a CT scan, 33.2% received only XR imaging and were discharged back to the NH after a mean ED stay of 5.15 hours.
DISCUSSION
The pattern of NH residents' use of the ED for their imaging needs supports the creation of mobile XR policies to deliver more safe and efficient care in a Canadian medium population urban centre.
简介
确定消除养老院（NH）居民不必要的转院至医院的方法，为改善结果和更有效地利用稀缺的医疗资源提供了机会。本研究旨在更好地了解 NH 居民在哪里接受 X 光（XR）和计算机断层扫描（CT）检查，并确定在新不伦瑞克省是否有推行移动放射学政策的案例。
方法
对 2020 年新不伦瑞克省圣约翰市两家医院急诊科（ED）和门诊影像科的所有涉及 XR 或 CT 调查的就诊情况进行了回顾性分析。
结果
共有 311 名 NH 居民中的 521 次就诊和 920 次检查（688 次 XR 和 232 次 CT 扫描）。大多数检查是在 ED 开具的（920 次中的 696 次；75.6%；置信区间：72.8-78.3%）。在 ED 就诊并接受 XR 或 CT 扫描的 NH 居民中，33.2%的患者仅接受 XR 成像，在 ED 平均停留 5.15 小时后被送回 NH。
讨论
NH 居民在 ED 进行影像学检查的模式支持制定移动 XR 政策，以在加拿大中等人口城市中心提供更安全、更有效的护理。
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