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:	Cristian Lieneck, Zo Ramamonjiarivelo, Jennifer Cox, Jack Dominguez, Kendal Gersbach, Edward Heredia, Afroza Khan
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	ambulatory care outpatient care patient throughput COVID-19 pandemic Medicine R
Acceso en línea:	https://doaj.org/article/b649c15647344058953133bebb31b6d3
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spelling	oai:doaj.org-article:b649c15647344058953133bebb31b6d32021-11-25T17:44:28ZPatient Throughput Initiatives in Ambulatory Care Organizations during the COVID-19 Pandemic: A Systematic Review10.3390/healthcare91114742227-9032https://doaj.org/article/b649c15647344058953133bebb31b6d32021-10-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1474https://doaj.org/toc/2227-9032Background 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.Cristian LieneckZo RamamonjiariveloJennifer CoxJack DominguezKendal GersbachEdward HerediaAfroza KhanMDPI AGarticleambulatory careoutpatient carepatient throughputCOVID-19pandemicMedicineRENHealthcare, Vol 9, Iss 1474, p 1474 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ambulatory care outpatient care patient throughput COVID-19 pandemic Medicine R
spellingShingle	ambulatory care outpatient care patient throughput COVID-19 pandemic Medicine R Cristian Lieneck Zo Ramamonjiarivelo Jennifer Cox Jack Dominguez Kendal Gersbach Edward Heredia Afroza Khan Patient Throughput Initiatives in Ambulatory Care Organizations during the COVID-19 Pandemic: A Systematic Review
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.
format	article
author	Cristian Lieneck Zo Ramamonjiarivelo Jennifer Cox Jack Dominguez Kendal Gersbach Edward Heredia Afroza Khan
author_facet	Cristian Lieneck Zo Ramamonjiarivelo Jennifer Cox Jack Dominguez Kendal Gersbach Edward Heredia Afroza Khan
author_sort	Cristian Lieneck
title	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_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_sort	patient throughput initiatives in ambulatory care organizations during the covid-19 pandemic: a systematic review
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/b649c15647344058953133bebb31b6d3
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Patient Throughput Initiatives in Ambulatory Care Organizations during the COVID-19 Pandemic: A Systematic Review

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