相关实验视频
对于患有多种慢性疾病的老年患者提供综合性初级保健: "没有人急于让你通过"
1Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. cboult@jhsph.edu
JAMA
|November 4, 2010
概括
对于患有多种慢性疾病的老年人来说,有效的初级保健需要主动的过程. 这些包括全面评估,基于证据的规划,患者参与和护理协调,改善分散的护理.
科学领域:
- 老年病的医生 老年病的医生
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有多种慢性疾病的老年人经常经历分散和无效的医疗保健.
- 传统的疾病特异性管理不足以满足复杂的老年人护理需求.
研究的目的:
- 确定积极的流程,以改善社区居住的多种慢性疾病的老年人初级保健.
- 描述慢性护理的模型,以提高有效性和效率.
主要方法:
- 专家就现有证据达成共识.
- 一个复杂的老年患者的案例说明.
- 描述四个关键的护理过程.
- 三种慢性护理模式 (GRACE,指导护理,PACE) 的简要概述.
主要成果:
- 四个积极的过程可以改善初级保健:全面评估,基于证据的规划/监测,患者/护理人员参与,以及专业护理协调.
- 这些流程应根据患者的目标和偏好量身定制.
- 三种模型 (GRACE,指导护理,PACE) 结合了这些流程,并显示了提高有效性和效率的潜力.
结论:
- 积极主动,持续和协调的方法对于管理多种慢性疾病的老年人至关重要.
- 实施像GRACE,指导护理或PACE这样的模型可以提高复杂的初级保健的质量和效率.
- 根据个体患者的目标和偏好量身定制护理对于成功的结果至关重要.
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