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偏远急诊科中符合紧急护理中心条件的就诊情况。

Urgent Care Centre Eligible Presentations in a Remote Emergency Department.

作者信息

Johnstone Jack, Perry Chris, Rigby Ellice, Capps Lisa, Johnson Richard

机构信息

Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK.

Alice Springs Hospital, Alice Springs, Australia.

出版信息

Emerg Med Australas. 2025 Oct;37(5):e70135. doi: 10.1111/1742-6723.70135.

Abstract

OBJECTIVE

This study aimed to identify presentations to the Alice Springs Emergency Department that could be managed in an Urgent Care Centre (UCC).

METHODS

We reviewed 1 year of ED presentation data at Alice Springs Hospital (ASH) from August 2022 to August 2023 and used a sequence of exclusion criteria to identify patients most likely to be eligible for UCC management.

RESULTS

Our model indicated that 35.0% of ED presentations at ASH during this period could have been managed in a UCC. Only 41.5% of these presentations (14.5% of total presentations) occurred during UCC operating hours.

CONCLUSIONS

According to this model, a significant proportion of ED presentations could potentially be managed in a UCC, although a large proportion of these occurred outside of UCC opening hours. The impact of the introduction of a UCC into a remote community on ED presentations, patient experience, patient outcomes and the broader system requires further study.

摘要

目的

本研究旨在确定可在紧急护理中心(UCC)进行管理的爱丽丝泉急诊科就诊病例。

方法

我们回顾了2022年8月至2023年8月爱丽丝泉医院(ASH)急诊科一年的就诊数据,并使用一系列排除标准来确定最有可能符合UCC管理条件的患者。

结果

我们的模型表明,在此期间ASH急诊科35.0%的就诊病例本可在UCC进行管理。这些就诊病例中只有41.5%(占总就诊病例的14.5%)发生在UCC的营业时间。

结论

根据该模型,虽然急诊科很大一部分就诊病例发生在UCC营业时间之外,但仍有很大比例的病例可能在UCC进行管理。在偏远社区引入UCC对急诊科就诊、患者体验、患者结局及更广泛系统的影响需要进一步研究。

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