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高级预诊室在改善联邦合格健康中心沟通和就诊效率方面的潜力。

The Potential of Advanced Rooming to Improve Communication and Visit Efficiency in Federally Qualified Health Centers.

机构信息

Author Affiliations: AllianceChicago, Chicago, Illinois (Dr Simon, Ms Hamielec, and Drs Walter and Panzer); Near North Health, Chicago, Illinois (Dr Patel); and Mount Sinai School of Medicine; New York City, New York (Dr Walter).

出版信息

J Ambul Care Manage. 2024;47(4):271-277. doi: 10.1097/JAC.0000000000000504. Epub 2024 Aug 23.

DOI:10.1097/JAC.0000000000000504
PMID:39028287
Abstract

Advanced rooming is a workflow that enables non-clinician staff to take on additional responsibilities to improve quality and productivity. However, the impact is not well understood, particularly in Federally Qualified Health Centers (FQHCs). In this observational study at two FQHC sites, we found that in advanced rooming more questions were asked by patients and staff and more problems were identified and addressed. Advanced rooming medical assistants spent more time with patients and huddled longer with clinicians without significant differences in the clinical portion of the visit or total visit length. Advanced rooming may be a way to enhance care, ease clinician burden, and increase efficiency.

摘要

高级预诊室是一种工作流程,它使非临床工作人员能够承担更多的责任,以提高质量和生产力。然而,其影响尚未得到很好的理解,尤其是在联邦合格的健康中心(FQHC)。在这项对两个 FQHC 地点的观察性研究中,我们发现,在高级预诊室中,患者和工作人员提出的问题更多,发现和解决的问题也更多。高级预诊室的医疗助理与患者在一起的时间更长,与临床医生挤在一起的时间也更长,但就诊的临床部分或总就诊时间没有显著差异。高级预诊室可能是一种增强护理、减轻临床医生负担和提高效率的方法。

相似文献

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The Potential of Advanced Rooming to Improve Communication and Visit Efficiency in Federally Qualified Health Centers.高级预诊室在改善联邦合格健康中心沟通和就诊效率方面的潜力。
J Ambul Care Manage. 2024;47(4):271-277. doi: 10.1097/JAC.0000000000000504. Epub 2024 Aug 23.
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Acad Emerg Med. 2019 Feb;26(2):129-139. doi: 10.1111/acem.13494. Epub 2019 Jan 16.
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本文引用的文献

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The Solution Shop and the Production Line - The Case for a Frameshift for Physician Practices.解决方案商店与生产线——医师执业模式转变的案例
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标准化与定制化:寻找平衡点。
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Elusive Waste: The Fermi Paradox in US Health Care.难以捉摸的浪费:美国医疗保健中的费米悖论
JAMA. 2019 Oct 15;322(15):1458-1459. doi: 10.1001/jama.2019.14610.
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Patient-Family Agenda Setting for Primary Care Patients with Cognitive Impairment: the SAME Page Trial.患者-家庭初级保健认知障碍患者的议程设置:同一页面试验。
J Gen Intern Med. 2018 Sep;33(9):1478-1486. doi: 10.1007/s11606-018-4563-y. Epub 2018 Jul 18.
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Patient Educ Couns. 2016 May;99(5):718-23. doi: 10.1016/j.pec.2015.12.009. Epub 2015 Dec 21.
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What is agenda setting in the clinical encounter? Consensus from literature review and expert consultation.临床问诊中的议程设置是什么?来自文献综述和专家咨询的共识。
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