Analysis of current status of in eye community based nurse-led clinics
10.3760/cma.j.issn.1672-7088.2019.20.009
- VernacularTitle: 以护士为主导的社区眼科诊所就医现状分析
- Author:
Jing ZHANG
1
,
2
;
Xiaoxiao CHI
3
;
Jing WANG
3
;
Xiaoyun WANG
3
;
Ting LI
3
;
Yao WANG
3
Author Information
1. Qingdao University, Medical College, Qingdao 266071, China
2. Qingdao Eye Hospital, State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Qingdao 266071, China
3. Qingdao Eye Hospital, State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Qingdao 266071, China
- Publication Type:Clinical Trail
- Keywords:
Nurses;
Community health services;
Clinics
- From:
Chinese Journal of Practical Nursing
2019;35(20):1562-1566
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the advantages and disadvantages of a new management model of eye community based nurse-led clinics.
Methods:From March 2016 to March 2018, a community clinic of a tertiary eye hospital, Qingdao Eye Hospital was analyzed. The situation of staff and equipment allocation and adjustment in the Clinic during the two years was also reviewed.
Results:A total of 17042 patients were admitted to the community clinic of a tertiary eye hospital in the past two years, among whom 44.9% were over 65 years old. Ocular surface diseases (34.4%, 5862), cataracts (31.6%, 5382), and refractive errors (17.2%, 2928) were the top three causes of patient visits. The waiting time for NLC patients was 1~114 (8.5±8.5) min, and the waiting time for outpatients in the main hospital area was 32.0~61.0 (42.4±7.1) min. The difference was statistically significant (Z=-135.172, P<0.01). The per capita cost of NLC patients was ¥ 4.0~153.2 (64.9±22.0), and the per capita cost of outpatients in the main hospital area was ¥ 110.0~586.9 (291.0±160.0), the difference was statistically significant (Z=-136.531, P<0.01). NLC scored higher than the main hospital area in consultation, timeliness and convenience of the disease(Z=-7.278, -7.462, -12.677, P<0.01), and was lower than the main hospital in the disease-solving project (Z=-3.188, P<0.01).
Conclusion:The NLC model is a new management model that can meet the needs of community clinics and also is a new challenge for nursing staff under the health care reform.
