https://xmed.www.mybigtv.com/issue/feed 2022 - 04 - 06 - t09:30:03内 卡塔尔世界杯8强波胆分析 editor@www.mybigtv.com 开放期刊系统 这是一篇开放获取的文章，根据创作共用署名许可协议(https://creativecommons.org/licenses/by/4.0/)发布，该协议允许在任何媒体上不受限制地使用、分发和复制，前提是必须正确引用在JMIRx Med上首次发表的原始作品。必须包括完整的书目信息，https://med.jmirx.org/上的原始出版物链接，以及版权和许可信息。 pubmed索引覆盖期刊预印本与后审查稿件市场(什么是JMIRx?) https://xmed.www.mybigtv.com/2022/3/e40574/ 2022 - 08 - 09 - t09:01:49内 匿名

2022 - 08 - 09 - t09:01:49内 https://xmed.www.mybigtv.com/2022/3/e40453/ 2022 - 08 - 09 - t09:01:25内 马修Mbwogge 尼古拉斯Astbury 亨利Ebong Nkumbe Catey Bunce Covadonga Bascaran

2022 - 08 - 09 - t09:01:25内 https://xmed.www.mybigtv.com/2022/3/e40448/ 2022 - 08 - 09 - t09:01:04内 Haleh Ayatollahi

2022 - 08 - 09 - t09:01:04内 https://xmed.www.mybigtv.com/2022/3/e40444/ 2022 - 08 - 09 - t09:00:41内 Alexandros Argyriadis

2022 - 08 - 09 - t09:00:41内 https://xmed.www.mybigtv.com/2022/3/e34263/ 2022 - 08 - 09 - t09:00:04内 马修Mbwogge 尼古拉斯Astbury 亨利Ebong Nkumbe Catey Bunce Covadonga Bascaran

背景:等待时间会大大增加诊所和患者的成本，是眼科护理用户满意度的主要预测因素。有效管理候诊时间仍然是医院面临的一个挑战。在大流行后时代，等待时间管理将变得更加关键。改善等待时间的一个关键考虑因素是眼科护理使用者的参与。本研究旨在通过使用PDSA (Plan-Do-Study-Act)质量改进周期来改善患者的等待时间和满意度。本研究的目的是确定候诊时间和患者满意度，衡量候诊时间和患者满意度之间的相关性，并确定PDSA模型在改善候诊时间和满意度方面的有效性。这是一项针对19 - 80岁患者的术后质量改善研究，这些患者是Magrabi国际眼科理事会喀麦隆眼科研究所的顾问。我们使用PDSA周期对超过6周的等待时间和满意度进行改进审计。一个名为Open data Kit (Get ODK Inc)的数据收集应用程序被用于实时跟踪每个服务点的等待、服务和空转时间。参与者也被问及他们是否满意在出口的等待时间。 Data from 51% (25/49) preintervention participants and 49% (24/49) postintervention participants were analyzed using Stata 14 at .05 significance level. An unpaired 2-tailed t test was used to assess the statistical significance of the observed differences in times before and after the intervention. Logistic regression was used to examine the association between satisfaction and waiting time. Results: In total, 49 participants were recruited with mean age of 49 (SD 15.7) years. The preintervention mean waiting, service, and idling times were 450 (SD 96.6), 112 (SD 47), and 338 (SD 98.1) minutes, respectively. There was no significant association between patient waiting time and satisfaction (odds ratio 1, 95% CI 0.99-1; P=.37; χ²₃=0.4). The use of PDSA led to 15% (66 minutes/450 minutes) improvement in waiting time (t₄₇=2; P=.05) and nonsignificant increase in patient satisfaction from 32% (8/25) to 33% (8/24; z=0.1; P=.92). Conclusions: Use of PDSA led to a borderline statistically significant reduction of 66 minutes in waiting time over 6 weeks and an insignificant improvement in satisfaction, suggesting that quality improvement efforts at the clinic have to be made over a considerable period to be able to produce significant changes. The study provides a good basis for standardizing the cycle (consultation) time at the clinic. We recommend shortening the patient pathway and implementing other measures including a phasic appointment system, automated patient time monitoring, robust ticketing, patient pathway supervision, standard triaging, task shifting, physician consultation planning, patient education, and additional registration staff.

2022 - 08 - 09 - t09:00:04内 https://xmed.www.mybigtv.com/2022/3/e40301/ 2022 - 07 - 28 - t09:47:35内 匿名 2022 - 07 - 28 - t09:47:35内 https://xmed.www.mybigtv.com/2022/3/e40159/ 2022 - 07 - 28 - t09:47:05内 亚历克斯Uzdavines 画了一个赫尔默 朱丽叶·F·斯佩尔曼 克里斯汀M犁 阿曼达·M·约翰逊 约翰F Chardos Kristine E (merrill Lynch) 迈克尔R Kauth 2022 - 07 - 28 - t09:47:05内 https://xmed.www.mybigtv.com/2022/3/e40023/ 2022 - 07 - 28 - t09:46:36内 匿名 2022 - 07 - 28 - t09:46:36内 https://xmed.www.mybigtv.com/2022/3/e39927/ 2022 - 07 - 28 - t09:46:08内 辛西娅Darling-Fisher 2022 - 07 - 28 - t09:46:08内 https://xmed.www.mybigtv.com/2022/3/e36266/ 2022 - 07 - 28 - t09:45:40内 亚历克斯Uzdavines 画了一个赫尔默 朱丽叶·F·斯佩尔曼 克里斯汀M犁 阿曼达·M·约翰逊 约翰F Chardos Kristine E (merrill Lynch) 迈克尔R Kauth

性健康是关于性的幸福状态。性健康受到高度重视，与整体健康息息相关。整体的健康和幸福不仅仅是没有疾病或功能障碍。采用整体健康护理模式的卫生保健系统需要纳入性健康的整体评估。这包括评估患者的性取向和性别认同(SOGI)。如果卫生系统，包括但不限于退伍军人健康管理局(VHA)，将性健康纳入整体健康，他们可以加强预防保健，促进健康的性功能，并优化整体健康和福祉。性健康评估可以为医疗服务提供者提供有关患者健康、福祉和健康目标的重要信息。性担忧或性功能障碍也可能是未诊断出的健康问题的信号。此外，作为性健康评估的一部分，收集SOGI信息将使提供者能够解决导致女同性恋、男同性恋、双性恋、跨性别者、酷儿和类似少数群体(LGBTQ+)人群差异的问题。卫生保健提供者在临床实践中不定期评估性健康。 One barrier is a gap in communication between patients and providers. Providers cite beliefs that patients will bring up sexual concerns themselves or might be offended by discussing sexual health. Patients often report an expectation that providers will bring up sexual health and being comfortable discussing sexual health with their providers. Within the VHA, the lack of a sexual health template within the electronic health record (EHR) adds an additional barrier. The VHA’s transition toward whole health and updates to its EHR provide unique opportunities to integrate sexual health assessment into routine care. We highlight system modifications to address this within the VHA. These examples may be helpful for other health care systems interested in moving toward whole health. It will be vital for health care systems integrating a whole health approach to develop both practical and educational interventions to address the communication gap. These interventions will need to target both providers and patients in health care systems that transition to a whole health model of care, not just the VHA. Both the communication gap between providers and patients, and the lack of support within some EHR systems for sexual health assessment are barriers to assessing sexual health in primary care clinics. Routine sexual health assessment would benefit patient well-being and present an opportunity to address health disparities for LGBTQ+ populations. Health care systems (ie, both the VHA and other systems) can overcome these barriers by implementing educational interventions and updating their EHRs and back-end data structures. VHA’s expertise in developing and implementing health education interventions and EHR-based quality improvements may help inform interventions beyond VHA.

2022 - 07 - 28 - t09:45:40内

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