Labor resource use for endoscopic gastric cancer screening in Japanese primary care settings: a work sampling study.
Labor resource use for endoscopic gastric cancer screening in Japanese primary care settings: a work sampling study.
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DOI：
10.1371/journal.pone.0088113
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Hamashima C
中科院分区：
文献类型：
--
作者：
Goto R;Arai K;Kitada H;Ogoshi K;Hamashima C
内镜胃癌筛查在初级保健机构，但需要多少资源来提供这项服务仍然未知。这项研究确定了多少时间和人力资源用于内镜胃癌和程序的每个组成部分。采用工作取样技术对上消化道内镜手术进行前瞻性观察。这项研究分析了在提供这项服务的初级保健诊所接受上消化道内镜胃癌筛查的患者的数据。主要的结果测量是时间间隔和总时间间隔，考虑了同时参与的工人的数量，并计算为时间间隔和工人数量的乘积，以及每个程序的单个组件的劳动力成本。我们观察了44个上内窥镜手术在四个门诊诊所。术前（准备和术前用药）、手术（从插管到拔管）和术后（恢复和清洁）分别占总时间的34.1%、10.6%和54.4%。在总体总时间间隔（平均值：4453人-秒）中，术前、术中和术后分别占总时间的29.3%、14.4%和55.7%。从总时间和劳动力成本的角度来看，后程序是最耗时和最耗力的组成部分。完成内镜胃癌筛查所需的大部分时间都用于准备、术前用药和术后程序，护士在其中发挥着关键作用。
Endoscopic gastric cancer is screened in primary care settings, but how much resources are required to deliver this service remains unknown. This study determines how much time and human resources are used for endoscopic gastric cancer and for each component of the procedure. Upper endoscopic procedures were prospectively observed using a work sampling technique. This study analyzed data from patients who underwent upper endoscopic gastric cancer screening at primary care clinics that provide this service. The main outcome measurements were time intervals and total time intervals that considered the numbers of simultaneously engaged workers and were calculated as the product of time intervals and the number of workers, and the labor cost of individual components of each procedure. We observed 44 upper endoscopic procedures at four outpatient clinics. Pre-procedure (preparation and pre-medication), procedure (from intubation to extubation) and post-procedure (recovery and cleaning) accounted for 34.1%, 10.6% and 54.4% of the total time, respectively. Of the overall total time intervals (mean: 4453 person-seconds), 29.3%, 14.4% and 55.7% of the total time was devoted to pre-procedure, procedure and post-procedure, respectively. The post-procedure was the most time- and labor-consuming component from the viewpoints of both total time and labor cost. Most of the time taken to complete endoscopic gastric cancer screening is consumed by preparation, pre-medication and post-procedures in which nurses play key roles.
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影响因子：
7.7
作者：
Harewood, Gavin C.;Chirysostomou, Kristia;Leong, Wai Ling
通讯作者：
Leong, Wai Ling
教学医院内窥镜检查室的效率：延误、手术时间延长和医院等待时间
影响因子：
7.7
作者：
Yong, Elaine;Zenkova, Olga;Rabeneck, Linda
通讯作者：
Rabeneck, Linda
影响因子：
2.4
作者：
Hamashima, Chisato;Shibuya, Daisuke;Sobue, Tomotaka
通讯作者：
Sobue, Tomotaka
影响因子：
9.7
作者：
Ikegami, N;Campbell, JC
通讯作者：
Campbell, JC