Reducing waiting times associated with an integrated child health service
Reducing waiting times associated with an integrated child health service
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DOI：
10.1177/146642400212200412
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发表时间：
2002-12-01
期刊：
影响因子：
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通讯作者：
Sinden, S
中科院分区：
文献类型：
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作者：
Clow, D;Mustafa, A;Sinden, S
由于东伦敦儿童保健服务的平均等待时间增加，1999年5月至6月期间采取了一项行动，迅速减少转诊后长时间等待的儿童人数。在现有资源范围内采取了多学科合作办法，医疗、护理、管理和行政人员都参与其中，这一举措包括审查等候名单的准确性，然后邀请剩余的病人提供一个选择，即继续等待就诊或提供快速反应诊所的服务，从而减少等候和就诊时间。常规提供半小时预约，而不是每小时预约，并采用形式进行病史采集和后续转诊，以节省管理时间。在一个月的时间里，共有162名患者接受了治疗，亲属完成的满意度问卷表明他们更喜欢这项新服务。平均轮候时间减少到倡议开始时的四分之一以下，平均不到两个月，研究的目的是看看是否可以通过使用现有工作人员来减少轮候名单。我们希望了解家长对缩短轮候时间和缩短诊症时间是否可以接受的意见，以及可否减少轮候人数，或在快速应变诊所停止服务后，轮候人数会否迅速增加，并就其他地方的措施和维持高质素服务的需要，讨论有关结果。
Following an increase in average waiting times associated with a child health service in East London, an initiative to rapidly reduce the numbers of children waiting long periods following a referral was undertaken over the period May to June 1999. A multi-disciplinary cooperative approach was adopted operating within the existing available resources and involved medical, nursing, managerial and administrative staff.The initiative involved a review of the accuracy of the waiting list, followed by an invitation to remaining patients to provide an option of continuing to wait to be seen or offering attendance at a rapid response clinic associated with reduced waiting and consultation times. Half-hourly appointments were routinely offered instead of hourly appointments and proformas were adopted for history taking and onward referrals to save time spent on administration. A total of 162 patients were seen over the course of a month and a satisfaction questionnaire completed by relatives indicated a preference for the new service. The mean waiting time was reduced to under a quarter of the time at the start of the initiative to a mean of less than two months.The purpose of the study was to see if the waiting list could be reduced by using existing staff. We wanted to ascertain the parents' views whether shorter waits and shorter consultation periods were acceptable, and to ascertain if the waiting list could be kept down or whether the waiting list would rapidly recur after the rapid response clinics stopped.The findings are discussed in relation to initiatives elsewhere and the need to maintain a high quality service.