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BMC Health Serv Res. 2024 Sep 17;24(1):1079. doi: 10.1186/s12913-024-11583-y.
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本文引用的文献

1
Does an emergency access button increase the patients' satisfaction and feeling of safety with the out-of-hours health services? A randomised controlled trial in Denmark.紧急接入按钮是否会提高患者对非工作时间医疗服务的满意度和安全感?丹麦的一项随机对照试验。
BMJ Open. 2020 Sep 30;10(9):e030267. doi: 10.1136/bmjopen-2019-030267.
2
Self-rated worry is associated with hospital admission in out-of-hours telephone triage - a prospective cohort study.自评担忧与非工作时间电话分诊中的住院有关——一项前瞻性队列研究。
Scand J Trauma Resusc Emerg Med. 2020 Jun 10;28(1):53. doi: 10.1186/s13049-020-00743-8.
3
Methods to adjust for multiple comparisons in the analysis and sample size calculation of randomised controlled trials with multiple primary outcomes.多主要结局随机对照试验分析和样本量计算中多重比较的调整方法。
BMC Med Res Methodol. 2019 Jun 21;19(1):129. doi: 10.1186/s12874-019-0754-4.
4
Do callers to out-of-hours care misuse an option to jump the phone queue?非工作时间寻求医疗帮助的来电者是否滥用了插队选项?
Scand J Prim Health Care. 2019 Jun;37(2):207-217. doi: 10.1080/02813432.2019.1608067. Epub 2019 May 9.
5
Impact of caller's degree-of-worry on triage response in out-of-hours telephone consultations: a randomized controlled trial.来电者担忧程度对非工作时间电话咨询分诊反应的影响:一项随机对照试验。
Scand J Trauma Resusc Emerg Med. 2019 Apr 11;27(1):44. doi: 10.1186/s13049-019-0618-2.
6
Giving callers the option to bypass the telephone waiting line in out-of-hours services: a comparative intervention study.为来电者提供在非工作时间服务中绕过电话等候队列的选项:一项对比干预研究。
Scand J Prim Health Care. 2019 Mar;37(1):120-127. doi: 10.1080/02813432.2019.1569427. Epub 2019 Feb 2.
7
Self-rated worry in acute care telephone triage: a mixed-methods study.急性护理电话分诊中的自我评估担忧:一项混合方法研究。
Br J Gen Pract. 2018 Mar;68(668):e197-e203. doi: 10.3399/bjgp18X695021. Epub 2018 Feb 12.
8
[Good Practice of Secondary Data Analysis (GPS): guidelines and recommendations].[二次数据分析的良好实践(GPS):指南与建议]
Gesundheitswesen. 2015 Feb;77(2):120-6. doi: 10.1055/s-0034-1396815. Epub 2015 Jan 26.

电话队列中紧急情况的识别和快速通道(FAST)转接:一项前瞻性、双臂队列研究的研究方案。

Identification of emergencies in the telephone queue and routing to a fast track (FAST): study protocol for a prospective, two-armed cohort study.

机构信息

Central Research Institute of Ambulatory Health Care in Germany, Berlin, Germany.

aQua-Institute - Institute for Applied Quality Improvement and Research in Health Care, Göttingen, Germany.

出版信息

BMC Health Serv Res. 2024 Sep 17;24(1):1079. doi: 10.1186/s12913-024-11583-y.

DOI:10.1186/s12913-024-11583-y
PMID:39285300
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11406844/
Abstract

BACKGROUND

In Germany, the telephone patient service 116,117 for callers with non-life-threatening health issues is available 24/7. Based on structured initial assessment, urgency and placement of suitable medical care offer have been offered since 2020. The service has been in increasing demand for several years: Depending on time and residence, this can result in longer waiting times.

METHODS

Prospective, two-armed cohort study with two intervention groups and one control group, alternating between blinding and unblinding for employees of 116,117 regarding prioritization status. Two interventions based on automated voice dialogues (1: Simple self-rating tool, 2: Automated brief query of emergency symptoms). In case of high level of urgency, callers are prioritized. Validation of urgency and need for care is carried out routinely based on structured initial assessment.

DISCUSSION

By creating and providing a largely reproducible documentation of the implemented solutions for a waiting queue management, the developed approach would be available for comparable projects in the German health care system or in the European context. This potentially leads to a reduction in the use of resources in the development of comparable technical solutions based on automated voice dialogs.

TRIAL REGISTRATION

DRKS00031235, registered on 10th November 2023, https://drks.de/search/de/trial/DRKS00031235 .

摘要

背景

在德国,针对非危及生命的健康问题的电话患者服务 116,117 每天 24 小时提供服务。自 2020 年以来,根据结构化的初步评估、紧急情况和提供合适的医疗服务的情况,已经提供了服务。该服务多年来需求不断增加:根据时间和居住地的不同,这可能导致等待时间延长。

方法

前瞻性、双臂队列研究,针对 116,117 的员工分为两组干预组和一组对照组,采用盲法和非盲法交替进行优先级状态。两种干预措施基于自动化语音对话(1:简单自评工具,2:紧急症状自动简短查询)。如果紧急程度较高,呼叫者将被优先处理。根据结构化的初步评估,常规进行紧急情况和护理需求的验证。

讨论

通过创建和提供用于等待队列管理的已实施解决方案的大量可重现文档,所开发的方法将可用于德国医疗保健系统或欧洲范围内类似的项目。这可能会减少在开发基于自动化语音对话的类似技术解决方案时资源的使用。

试验注册

DRKS00031235,于 2023 年 11 月 10 日注册,https://drks.de/search/de/trial/DRKS00031235。