麦地那市紧急护理中心对急诊科就诊情况的影响：一项前后对照研究。
Impact of urgent care centers on emergency department visits in Al Madina Al Munawara: A pre-post study.
作者信息
ALJohani Ahlam A, Alhazmi Jehan M, Alsaedi Osama H, Al-Ahmadi Ahmed F, Alshammary Noura S
机构信息
From the Model of Care (AlJohani, Al-Hazmi, Al-saedi, Al-Ahmadi), and from Healthcare Strategy Administration (Alshammary),Madinah Health Cluster, Al Madina Al Munawara, Kingdom of Saudi Arabia.
出版信息
Saudi Med J. 2025 Jan;46(1):65-70. doi: 10.15537/smj.2025.46.1.20240537.
OBJECTIVES
To evaluate the impact of UCCs on reducing non-urgent Emergency Department (ED) visits and improving patient flow, focusing on metrics such as door-to-doctor time, doctor-to-decision time, and overall patient disposition.
METHODS
This observational cohort pre-post study analyzed data from 198,050 ED visits to King Fahad Hospital, Al Madina Al Munawara between June 2021 and May 2023 and compared visit patterns before and after UCC implementation.
RESULTS
Post-UCC implementation, the average door-to-doctor time decreased but was not statistically significant. Significant reductions were observed in doctor-to-decision and door-to-disposition times for CTAS 3 patients. However, overall patient flow improvements were not fully realized, highlighting the need for enhanced public awareness and integration of UCCs with EDs.
CONCLUSION
The study shows that while urgent care centers in Al Madina Al Munawara have improved efficiency for some patient categories, they don't fully achieve expected reductions in waiting times and patient flow. Seasonal variations, limited patient awareness, and data constraints affect outcomes.
目的
评估紧急护理中心（UCCs）对减少非紧急急诊科（ED）就诊次数及改善患者流程的影响，重点关注诸如从进门到见到医生的时间、医生做出诊断的时间以及患者最终处置情况等指标。
方法
这项前后对照的观察性队列研究分析了2021年6月至2023年5月期间法赫德国王医院（位于麦地那）198,050例急诊科就诊数据，并比较了实施紧急护理中心前后的就诊模式。
结果
实施紧急护理中心后，平均从进门到见到医生的时间有所下降，但无统计学意义。对于CTAS 3级患者，医生做出诊断的时间和从进门到处置的时间显著缩短。然而，患者流程的整体改善并未完全实现，这凸显了提高公众意识以及将紧急护理中心与急诊科整合的必要性。
结论
该研究表明，虽然麦地那的紧急护理中心提高了部分患者类别的效率，但并未完全实现预期的等待时间和患者流程的减少。季节变化、患者意识有限以及数据限制影响了结果。
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