International Journal of Pediatric Otorhinolaryngology2026年8月13日

透過價值導向醫療服務重整減少兒童腺扁桃腺切除術等待時間:一項中斷時間序列研究

// Reducing waiting times for pediatric adenotonsillectomy through a value-based healthcare service redesign: an interrupted time series study

本研究評估以價值導向醫療(VBHC)理念設計整合式醫療單元(IPU)以提升華沙兒童扁桃腺切除術的就醫可及性|透過標準化照護、集中排程及病患結果監測,等待中位數從56週降至4週|手術量及手術室效率提升,安全性維持穩定|顯示VBHC導向的IPU模式可有效增進兒童耳鼻喉科服務效率與病患接觸率。

// This study evaluated a value-based healthcare redesign using an integrated practice unit (IPU) to improve access to pediatric adenotonsillectomy in Warsaw. The IPU program standardized care, centralized scheduling, and monitored patient outcomes, leading to a significant reduction in median waiting times from 56 to 4 weeks over two years. Surgical throughput increased, operating room efficiency improved, and safety remained stable. The findings suggest that VBHC-informed IPU redesign can enhance service efficiency and patient access in pediatric otolaryngology.

#Tonsillectomy#Adenoidectomy#Waiting Lists

Published 2026年8月11日

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