Early return visits by pediatric primary care patients with otitis media: a retail nurse practitioner clinic versus standard medical office care.
Early return visits by pediatric primary care patients with otitis media: a retail nurse practitioner clinic versus standard medical office care.
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DOI：
10.1097/qmh.0b013e3182418157
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发表时间：
2012-01-01
影响因子：
1.2
通讯作者：
Angstman, Kurt B
中科院分区：
文献类型：
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作者：
Rohrer, James E;Garrison, Gregory M;Angstman, Kurt B
目的：比较被诊断患有中耳炎的儿童患者使用零售执业护士诊所与使用标准诊所诊所的类似患者在2周内的门诊回访。背景：零售诊所对回访率的影响尚未被广泛研究。数据来源：2009年在明尼苏达州的一个大型集体诊所中看到的儿科初级保健患者的电子病历。SAMPLE：在零售执业护士诊所(N=627)或常规诊所(N=2353)的零售无预约诊所看到的患者。OUTCOME测量：在2周内再次访问任何地点。结果：百分比标准护理患者的复发率高于零售医药患者(21.0比11.2，P<；.001)。在调整了使用服务的倾向、年龄和性别后，标准护理患者在2周内复诊的几率高于零售医药患者(优势比=1.54，P<；0.01)。结论：在这种集体实践中，接受中耳炎治疗的儿科患者在零售医药诊所的2周内复诊的几率低于标准办公室诊所。
PURPOSE: To compare outpatient return visits within 2 weeks experienced by pediatric patients diagnosed with otitis media using retail nurse practitioner clinics to similar patients using standard medical office clinics.BACKGROUND: The impact of retail clinics on return visit rates has not been extensively studied.DATA SOURCE: Electronic medical records of pediatric primary care patients seen in a large group practice in Minnesota in 2009 for otitis media.SAMPLE: Patients seen in retail walk-in clinics staffed by nurse practitioners (N = 627) or regular office clinics (N = 2353).OUTCOME MEASURE: A return visit to any site within 2 weeks.RESULTS: The percentage returning was higher in standard care patients than in retail medicine patients (21.0 vs 11.2, P < .001). The odds of a return visit within 2 weeks were higher in standard care patients than in retail medicine patients after adjusting for propensity to use services, age, and gender (odds ratio = 1.54, P < 0.01).CONCLUSION: In this group practice, the odds of return visits within 2 weeks for pediatric patients treated for otitis media were lower in retail medicine clinics than in standard office clinics.