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首页> 外文期刊>Rheumatology International >A retrospective review of rheumatology referral wait times within a health centre in Quebec, Canada
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A retrospective review of rheumatology referral wait times within a health centre in Quebec, Canada

机译：加拿大魁北克医疗中心风湿病转诊等待时间的回顾性回顾

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It is important that inflammatory arthropathies such as rheumatoid arthritis be diagnosed promptly so that treatment can be administered in a timely fashion. However, there is considerable evidence that this process of care is delayed in many people. The aim of the study is to assess wait times between primary care referral and rheumatology assessment for new-onset inflammatory arthropathies. We performed a retrospective review related to new rheumatology consultations (N = 202) between September and November 2008 within the McGill University Health Centre, Montreal, Canada. At this centre, no formal triaging of rheumatology referrals exists. Of the 202 charts reviewed, wait times could be calculated in 164 cases. Only consultations for new-onset conditions were analyzed (N = 161). The results showed that patients with inflammatory arthritis were seen approximately 34.6 days (median 26) post-referral. Wait times for individuals who were ultimately diagnosed with non-urgent conditions (osteoarthritis, fibromyalgia and soft-tissue rheumatism) averaged 41.0 days (median 29). In conclusions, compared to non-urgent cases, individuals with inflammatory arthritis were seen about 1 week sooner. Nevertheless, provisional diagnosis provided on referrals did not appear to expedite wait times for persons with suspected inflammatory arthritis. This suggested that other factors, such as the concern of the patient, may have an influence on referral wait times. Implementation of a rapid access program or triage system may be helpful to further decrease wait times for inflammatory arthropathies.
机译：重要的是要迅速诊断出诸如类风湿性关节炎之类的炎症性关节病，以便及时进行治疗。但是，有大量证据表明，许多人的这种护理过程被延迟了。该研究的目的是评估新发炎性关节病在初级保健转诊和风湿病学评估之间的等待时间。我们于2008年9月至11月在加拿大蒙特利尔的麦吉尔大学健康中心进行了与新的风湿病咨询相关的回顾性研究（N = 202）。在这个中心，没有风湿病转诊的正式分类。在审查的202个图表中，可以计算164个案例的等待时间。仅对新发疾病的咨询进行了分析（N = 161）。结果表明，在转诊后约34.6天（中位数26）可以看到炎症性关节炎患者。最终被诊断为非紧急情况（骨关节炎，纤维肌痛和软组织风湿病）的平均等待时间为41.0天（中位数29）。结论是，与非紧急情况相比，炎症性关节炎患者约早了1周被发现。尽管如此，转诊提供的临时诊断似乎并未加快疑似炎症性关节炎患者的等待时间。这表明其他因素，例如患者的关心，可能会影响转诊的等待时间。快速访问程序或分类系统的实施可能有助于进一步减少炎症性关节病的等待时间。

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