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Prior activation of social work team process by pre-admission one-click automatic referral system

BACKGROUND: Coronary artery disease (CAD) is the leading global cause of mortality. Coronary angiography (CAG) is often performed for CAD patients, and the mean length of stay (LoS) is 4 d. Requests to the social work team (SWT) are often delayed until just before discharge, causing unnecessarily pr...

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Autores principales: Chon, S, Kim, BE, Lee, IJ, Choi, GY
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9594456/
http://dx.doi.org/10.1093/eurpub/ckac131.105
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author Chon, S
Kim, BE
Lee, IJ
Choi, GY
author_facet Chon, S
Kim, BE
Lee, IJ
Choi, GY
author_sort Chon, S
collection PubMed
description BACKGROUND: Coronary artery disease (CAD) is the leading global cause of mortality. Coronary angiography (CAG) is often performed for CAD patients, and the mean length of stay (LoS) is 4 d. Requests to the social work team (SWT) are often delayed until just before discharge, causing unnecessarily prolonged LoS and reduced chances of obtaining financial support. If the SWT’s support system is activated beforehand for scheduled CAGs, the LoS would be shorter and patients would be relieved of emotional and financial burdens. METHODS: Collaborating with the cardiology and medical informatics departments, a one-click automatic referral system (OARS) was set up (January-May 2021). When cardiologists scheduled a CAG in the outpatient department, an OARS cue popped automatically for the medical aid recipients. The cardiologists could also activate the pre-admission OARS for other patients when necessary. Subsequently, the SWT responded on that day to discuss initiating the financial support process with the candidates. The rate of cardiologists’ pre-admission referral to SWT, decision-making time on financial support provision, and proportion of patients receiving financial support were compared before and after initiating OARS. RESULTS: After initiating pre-admission OARS, the rate of cardiologists’ pre-admission referral to SWT increased from 17.8% (18/101: mean age, 64.6±12.0 y; 32 females; January-December 2020) to 59.1% (55/93: mean age, 64.0±11.8 y; 29 females; June-December 2021) (p < 0.001). Although the decision-making time to provide financial support did not change significantly (8.4±11.1 vs. 4.7±11.6 d; p = 0.96), the proportion of patients receiving financial support increased (45.5% [46/101] vs. 60.2% [56/93]; p = 0.045). CONCLUSIONS: By enhancing the cardiologists’ pre-admission referral to SWT and success rate of receiving financial support, the proactive strategy of pre-admission OARS benefits CAD patients scheduled for CAG. KEY MESSAGES: • By building a proactive referral strategy of pre-admission OARS, more CAD patients scheduled for CAG could obtain timely financial support and be relieved both emotionally and financially by the SWT. • This pre-admission OARS might be incorporated for more disease entities for patients in need.
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spelling pubmed-95944562022-11-22 Prior activation of social work team process by pre-admission one-click automatic referral system Chon, S Kim, BE Lee, IJ Choi, GY Eur J Public Health Poster Displays BACKGROUND: Coronary artery disease (CAD) is the leading global cause of mortality. Coronary angiography (CAG) is often performed for CAD patients, and the mean length of stay (LoS) is 4 d. Requests to the social work team (SWT) are often delayed until just before discharge, causing unnecessarily prolonged LoS and reduced chances of obtaining financial support. If the SWT’s support system is activated beforehand for scheduled CAGs, the LoS would be shorter and patients would be relieved of emotional and financial burdens. METHODS: Collaborating with the cardiology and medical informatics departments, a one-click automatic referral system (OARS) was set up (January-May 2021). When cardiologists scheduled a CAG in the outpatient department, an OARS cue popped automatically for the medical aid recipients. The cardiologists could also activate the pre-admission OARS for other patients when necessary. Subsequently, the SWT responded on that day to discuss initiating the financial support process with the candidates. The rate of cardiologists’ pre-admission referral to SWT, decision-making time on financial support provision, and proportion of patients receiving financial support were compared before and after initiating OARS. RESULTS: After initiating pre-admission OARS, the rate of cardiologists’ pre-admission referral to SWT increased from 17.8% (18/101: mean age, 64.6±12.0 y; 32 females; January-December 2020) to 59.1% (55/93: mean age, 64.0±11.8 y; 29 females; June-December 2021) (p < 0.001). Although the decision-making time to provide financial support did not change significantly (8.4±11.1 vs. 4.7±11.6 d; p = 0.96), the proportion of patients receiving financial support increased (45.5% [46/101] vs. 60.2% [56/93]; p = 0.045). CONCLUSIONS: By enhancing the cardiologists’ pre-admission referral to SWT and success rate of receiving financial support, the proactive strategy of pre-admission OARS benefits CAD patients scheduled for CAG. KEY MESSAGES: • By building a proactive referral strategy of pre-admission OARS, more CAD patients scheduled for CAG could obtain timely financial support and be relieved both emotionally and financially by the SWT. • This pre-admission OARS might be incorporated for more disease entities for patients in need. Oxford University Press 2022-10-25 /pmc/articles/PMC9594456/ http://dx.doi.org/10.1093/eurpub/ckac131.105 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Poster Displays
Chon, S
Kim, BE
Lee, IJ
Choi, GY
Prior activation of social work team process by pre-admission one-click automatic referral system
title Prior activation of social work team process by pre-admission one-click automatic referral system
title_full Prior activation of social work team process by pre-admission one-click automatic referral system
title_fullStr Prior activation of social work team process by pre-admission one-click automatic referral system
title_full_unstemmed Prior activation of social work team process by pre-admission one-click automatic referral system
title_short Prior activation of social work team process by pre-admission one-click automatic referral system
title_sort prior activation of social work team process by pre-admission one-click automatic referral system
topic Poster Displays
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9594456/
http://dx.doi.org/10.1093/eurpub/ckac131.105
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