Dịch vụ đánh giá và tư vấn qua điện thoại trong một phòng khám vật lý trị liệu cấp cứu: một nghiên cứu cải tiến chất lượng trên một địa điểm
Tóm tắt
Để giải quyết các vấn đề về việc tiếp cận kịp thời và tỷ lệ vắng mặt cao đối với vật lý trị liệu tại Khoa Cấp cứu (ED), một dịch vụ đánh giá và tư vấn qua điện thoại đã được đánh giá như một phần của dự án cải tiến chất lượng. Tùy chọn telehealth này yêu cầu tài nguyên tối thiểu, với lợi ích bổ sung là cho phép nhân viên y tế tối ưu hóa quy trình chăm sóc. Mục tiêu chính là điều tra xem mô hình dịch vụ này có thể giảm thời gian chờ đợi và tỷ lệ vắng mặt hay không, so với chăm sóc thông thường. Mục tiêu thứ hai là đánh giá mức độ chấp nhận của người dùng dịch vụ.
Đây là một nghiên cứu theo nhóm cải tiến chất lượng tại một địa điểm, so sánh dữ liệu về thời gian chờ đợi để liên lạc với vật lý trị liệu lần đầu, tỷ lệ vắng mặt và sự hài lòng của người tham gia giữa các bệnh nhân chọn dịch vụ dựa trên đánh giá và tư vấn qua điện thoại ban đầu, so với các cuộc hẹn trực tiếp thông thường. 116 bệnh nhân đã được giới thiệu để vật lý trị liệu tại ED trong dự án thí điểm 3 tháng tại Khoa Khám bệnh và Vật lý trị liệu, Bệnh viện XMercy, Cork, Ireland. 91 bệnh nhân (78%) đã chọn dịch vụ đánh giá và tư vấn qua điện thoại, với 40% (
Các bệnh nhân liên hệ với dịch vụ đánh giá và tư vấn qua điện thoại có thời gian chờ đợi giảm rõ rệt (trung vị 6 ngày; 3–8 ngày) so với những người chọn chăm sóc thông thường (trung vị 35 ngày; 19–39 ngày) (
Dịch vụ đánh giá và tư vấn qua điện thoại có thể hữu ích trong việc tối thiểu hóa sự chậm trễ cho những người được giới thiệu đến Vật lý trị liệu ED vì các vấn đề liên quan đến cơ xương khớp. Tùy chọn telehealth này có vẻ được chấp nhận rộng rãi và do có thể được triển khai nhanh chóng, nó có thể hỗ trợ trong việc phân loại các trường hợp giới thiệu và tối thiểu hóa các cuộc tư vấn trực tiếp, theo đúng khuyến nghị của COVID-19. Tuy nhiên, một nghiên cứu thử nghiệm có kiểm soát ngẫu nhiên quy mô lớn là cần thiết để xác nhận những phát hiện này.
Từ khóa
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