Analysis of current status of in eye community based nurse_led clinics / 中国实用护理杂志

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.