Improvement of the patient flow in a large urban clinic with high HIV seroprevalence in Kampala, Uganda
Improvement of the patient flow in a large urban clinic with high HIV seroprevalence in Kampala, Uganda
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DOI：
10.1258/ijsa.2008.008174
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发表时间：
2009-02-01
影响因子：
1.4
通讯作者：
Colebunders, R.
中科院分区：
文献类型：
--
作者：
Castelnuovo, B.;Babigumira, J.;Colebunders, R.
非洲的抗逆转录病毒治疗推广方案往往难以科普越来越多的病人。根据2005年进行的一项调查结果，显示等待时间长，我们的诊所引入了创新的组织变革（护士访问和仅药房补充访问）。2007年8月，再次进行了调查，以评估这些变化的影响。在这两次调查中，我们使用了相同的标准化问卷。2007年，400名患者在研究当天前往诊所，而2005年为250人。在诊所花费的中位时间从2005年的157分钟（范围22-426）减少到124分钟（15-314）。除了到分诊护士和医生就诊之间的时间外，所有不同服务的等待时间都减少了。其他卫生服务机构也可以使用类似的方法来评估和比较不同的护理模式。
Antiretroviral treatment roll-out programmes in Africa often have difficulties to cope with the increasing number of clients. Based on the findings of a survey carried out in 2005 that showed long waiting times, innovative organizational changes (nurse visits and pharmacy-only refill visits) were introduced in our clinic. In August 2007, the survey was repeated to evaluate the impact of these changes. During both surveys we used the same standardized questionnaire. In 2007, 400 patients visited the clinic on the study day compared to 250 in 2005. The median time spent at the clinic decreased from 157 minutes in 2005 (range 22-426) to 124 minutes (15-314). All the waiting times for different services decreased except the time between the visit to the triage nurse and the doctors' visit. A similar methodology could be used by other health services to evaluate and compare different models of care.