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首页> 外文期刊>Journal of Health Services Research & Policy >Systematic review of outreach clinics in primary care in the UK
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Systematic review of outreach clinics in primary care in the UK

机译：英国基层医疗中的外展诊所的系统评价

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Objectives : To determine the benefits of holding specialist outreach clinics in primary care settings by means of a systematic literature review of UK studies. nnMethods: Systematic searches of electronic databases, hand searches of journals, and contact with experts. Application of inclusion criteria. Study findings summarised. nnResults: Fifteen studies met the inclusion criteria. Surveys of general practitioners (GPs), specialists and patients identified the perceived advantages of outreach clinics of improving GP-specialist communication and improving patients' experience and access. Reported disadvantages concerned administrative costs, accommodation costs and inefficient use of specialists' time. Comparative studies showed that more patients expressed a preference for outreach clinics than for hospital-based clinics, and measures of patients' satisfaction and convenience generally were higher for outreach clinics. Studies did not show any consistent difference in health outcome between outreach and hospital-based clinics. Outreach clinics had higher direct costs to the health system than hospital-based clinics. nnConclusions: Health care purchasers and providers must decide whether the advantages in terms of patients' experience of outreach clinics are worth the additional costs. They also need to consider issues of equity, which have not been addressed in research to date.
机译：目的：通过对英国研究的系统文献综述，确定在初级保健机构中开设专科门诊的好处。 nnMethods：电子数据库的系统搜索，期刊的手动搜索以及与专家的联系。纳入标准的应用。研究结果总结。结果：十五项研究符合纳入标准。对全科医生，专科医生和患者的调查确定了外展诊所在改善全科医生与专家之间的交流以及改善患者的体验和可及性方面的优势。报告的不利因素涉及行政费用，住宿费用和专家时间的无效利用。比较研究表明，相比于医院诊所，更多的患者对外延诊所表示了偏爱，而外延诊所对患者满意度和便利性的衡量标准通常更高。研究没有显示外展和医院诊所的健康结局有任何一致的差异。与医院诊所相比，外展诊所对卫生系统的直接成本更高。 nn结论：医疗保健购买者和提供者必须决定就患者在外展诊所的经验而言的优势是否值得额外费用。他们还需要考虑公平问题，迄今为止，研究尚未解决这些问题。

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