Nguyen Khang, Nguyen Dinh, Lee Sinjin, Chang Jin, Bach Yvonne, La Kien, Justus Ferdinand, Shao Tianyuan, Wang Caleb, Kellogg Mason, Taylor Raquel, Evans Alan
Southern California Permanente Medical Group (SCPMG), Pasadena, CA, USA.
NPJ Digit Med. 2025 Apr 14;8(1):206. doi: 10.1038/s41746-025-01590-6.
Virtual urgent care (VUC) is not well understood when delivered through an integrated value-based healthcare system. The Southern California Permanente Medical Group operates Get Care Now (GCN), a VUC program complementing its urgent care clinics (UCC). Quality and patient experience dimensions are included in this study, comparing GCN and UCC patients. Females and Hispanics/Latinos were predominant in both groups and proportions of patients with chronic conditions were nearly identical within the leading 30-49 age band. Wait times for GCN were 21.19 min lower than for UCC, and positive patient survey results align with GCN's average Net Promoter Score of 87. 3-day return rates to the ED (2.53% GCN vs. 3.26% UCC) and to UCC (5.44% GCN vs. 2.42% UCC) were comparable between GCN and UCC utilizers. Findings demonstrate that 24/7 VUC sustainably supports meeting patient demand for urgent care services in an integrated value-based system.
当通过基于价值的综合医疗保健系统提供虚拟紧急护理（VUC）时，人们对其了解并不充分。南加州永久医疗集团运营着“立即就诊”（GCN）项目，这是一个补充其紧急护理诊所（UCC）的VUC项目。本研究纳入了质量和患者体验维度，对GCN和UCC的患者进行了比较。两组中女性和西班牙裔/拉丁裔占主导，在30 - 49岁的主要年龄段内，慢性病患者的比例几乎相同。GCN的等待时间比UCC短21.19分钟，患者调查的积极结果与GCN平均87分的净推荐值相符。GCN和UCC的使用者返回急诊科的3天复诊率（GCN为2.53%，UCC为3.26%）以及返回UCC的复诊率（GCN为5.44%，UCC为2.42%）相当。研究结果表明，7×24小时的VUC能够持续支持在基于价值的综合系统中满足患者对紧急护理服务的需求。
