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Patient Throughput Initiatives in Ambulatory Care Organizations during the COVID-19 Pandemic: A Systematic Review

Background and objectives: Ambulatory (outpatient) health care organizations continue to respond to the COVID-19 global pandemic using an array of initiatives to provide a continuity of care for both COVID-19 and non-COVID-19 patients. The purpose of this study is to systematically identify the faci...

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Autores principales: Lieneck, Cristian, Ramamonjiarivelo, Zo, Cox, Jennifer, Dominguez, Jack, Gersbach, Kendal, Heredia, Edward, Khan, Afroza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8624418/
https://www.ncbi.nlm.nih.gov/pubmed/34828520
http://dx.doi.org/10.3390/healthcare9111474
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author Lieneck, Cristian
Ramamonjiarivelo, Zo
Cox, Jennifer
Dominguez, Jack
Gersbach, Kendal
Heredia, Edward
Khan, Afroza
author_facet Lieneck, Cristian
Ramamonjiarivelo, Zo
Cox, Jennifer
Dominguez, Jack
Gersbach, Kendal
Heredia, Edward
Khan, Afroza
author_sort Lieneck, Cristian
collection PubMed
description Background and objectives: Ambulatory (outpatient) health care organizations continue to respond to the COVID-19 global pandemic using an array of initiatives to provide a continuity of care for both COVID-19 and non-COVID-19 patients. The purpose of this study is to systematically identify the facilitators and barriers experienced by outpatient health care organizations in an effort to maintain effective and efficient patient throughput during the pandemic. Materials and methods: This study systematically reviewed articles focused on initiatives taken by ambulatory care organizations to maintain optimal outpatient throughput levels while balancing pandemic precautions, published during 2020. Results: Among the 30 articles that met the inclusion criteria, three initiatives healthcare organizations have taken to maintain throughput were identified: the use (and enhanced use) of telehealth, protocol development, and health care provider training. The research team also identified three barriers to patient throughput: lack of telehealth, lack of resources, and overall lack of knowledge. Conclusions: To maintain patient throughput during the COVID-19 pandemic, healthcare organizations need to develop strategies such as the use of virtual consultation and follow-up, new guidelines to move patients along the care delivery value-chain, and ongoing training of providers. Additionally, the availability of required technology for telehealth, availability of resources, and adequate knowledge are vital for continuous patient throughput to ensure continuity of care during a pandemic.
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spelling pubmed-86244182021-11-27 Patient Throughput Initiatives in Ambulatory Care Organizations during the COVID-19 Pandemic: A Systematic Review Lieneck, Cristian Ramamonjiarivelo, Zo Cox, Jennifer Dominguez, Jack Gersbach, Kendal Heredia, Edward Khan, Afroza Healthcare (Basel) Review Background and objectives: Ambulatory (outpatient) health care organizations continue to respond to the COVID-19 global pandemic using an array of initiatives to provide a continuity of care for both COVID-19 and non-COVID-19 patients. The purpose of this study is to systematically identify the facilitators and barriers experienced by outpatient health care organizations in an effort to maintain effective and efficient patient throughput during the pandemic. Materials and methods: This study systematically reviewed articles focused on initiatives taken by ambulatory care organizations to maintain optimal outpatient throughput levels while balancing pandemic precautions, published during 2020. Results: Among the 30 articles that met the inclusion criteria, three initiatives healthcare organizations have taken to maintain throughput were identified: the use (and enhanced use) of telehealth, protocol development, and health care provider training. The research team also identified three barriers to patient throughput: lack of telehealth, lack of resources, and overall lack of knowledge. Conclusions: To maintain patient throughput during the COVID-19 pandemic, healthcare organizations need to develop strategies such as the use of virtual consultation and follow-up, new guidelines to move patients along the care delivery value-chain, and ongoing training of providers. Additionally, the availability of required technology for telehealth, availability of resources, and adequate knowledge are vital for continuous patient throughput to ensure continuity of care during a pandemic. MDPI 2021-10-30 /pmc/articles/PMC8624418/ /pubmed/34828520 http://dx.doi.org/10.3390/healthcare9111474 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Lieneck, Cristian
Ramamonjiarivelo, Zo
Cox, Jennifer
Dominguez, Jack
Gersbach, Kendal
Heredia, Edward
Khan, Afroza
Patient Throughput Initiatives in Ambulatory Care Organizations during the COVID-19 Pandemic: A Systematic Review
title Patient Throughput Initiatives in Ambulatory Care Organizations during the COVID-19 Pandemic: A Systematic Review
title_full Patient Throughput Initiatives in Ambulatory Care Organizations during the COVID-19 Pandemic: A Systematic Review
title_fullStr Patient Throughput Initiatives in Ambulatory Care Organizations during the COVID-19 Pandemic: A Systematic Review
title_full_unstemmed Patient Throughput Initiatives in Ambulatory Care Organizations during the COVID-19 Pandemic: A Systematic Review
title_short Patient Throughput Initiatives in Ambulatory Care Organizations during the COVID-19 Pandemic: A Systematic Review
title_sort patient throughput initiatives in ambulatory care organizations during the covid-19 pandemic: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8624418/
https://www.ncbi.nlm.nih.gov/pubmed/34828520
http://dx.doi.org/10.3390/healthcare9111474
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