...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Family Practice >A program of nurse algorithm-guided care for adult patients with acute minor illnesses in primary care
【24h】

A program of nurse algorithm-guided care for adult patients with acute minor illnesses in primary care

机译：由护士算法指导的初级保健急性成年患者护理计划

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Attention to patients with acute minor-illnesses requesting same-day consultation represents a major burden in primary care. The workload is assumed by general practitioners in many countries. A number of reports suggest that care to these patients may be provided, at in least in part, by nurses. However, there is scarce information with respect to the applicability of a program of nurse management for adult patients with acute minor-illnesses in large areas. The aim of this study is to assess the effectiveness of a program of nurse algorithm-guided care for adult patients with acute minor illnesses requesting same-day consultation in primary care in a largely populated area. Methods A cross-sectional study of all adult patients seeking same day consultation for 16 common acute minor illnesses in a large geographical area with 284 primary care practices. Patients were included in a program of nurse case management using management algorithms. The main outcome measure was case resolution, defined as completion of the algorithm by the nurse without need of referral of the patient to the general practitioner. The secondary outcome measure was return to consultation, defined as requirement of new consultation for the same reason as the first one, in primary care within a 7-day period. Results During a two year period (April 2009-April 2011), a total of 1,209,669 consultations were performed in the program. Case resolution was achieved by nurses in 62.5% of consultations. The remaining cases were referred to a general practitioner. Resolution rates ranged from 94.2% in patients with burns to 42% in patients with upper respiratory symptoms. None of the 16 minor illnesses had a resolution rate below 40%. Return to consultation during a 7-day period was low, only 4.6%. Conclusions A program of algorithms-guided care is effective for nurse case management of patients requesting same day consultation for minor illnesses in primary care.
机译：背景技术对需要当天就诊的急性重症患者的关注是初级保健的主要负担。该工作量由许多国家的全科医生承担。许多报告表明，护士可能至少部分地为这些患者提供护理。但是，关于在大范围内患有急性轻度疾病的成年患者实施护士管理计划的信息很少。这项研究的目的是评估在严重人群中需要初级护理的当日就诊的成年急性重症患者的护士算法指导护理计划的有效性。方法采用横断面研究方法，在284个基层医疗机构中，对在大地理区域内就16种常见的急性次要疾病进行就诊的所有成年患者。使用管理算法将患者纳入护士病例管理程序中。主要的结果衡量指标是案例解决方案，定义为护士完成算法而无需将患者转介给全科医生。次要结局指标是在7天内对初诊进行复诊，该复诊被定义为出于与第一个相同的原因而需要进行新咨询的需求。结果在两年的时间里（2009年4月至2011年4月），该计划共进行了1,209,669次咨询。在62.5％的咨询中，护士实现了案件解决。其余案件转给了全科医生。解决率范围从烧伤患者的94.2％到上呼吸道症状患者的42％。 16种轻微疾病的治愈率均未低于40％。 7天期间的咨询回报率很低，仅为4.6％。结论算法指导护理程序可有效地为需要当天就诊初级疾病的患者提供护理的病例管理。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号