对患有复杂疾病的婴儿的护理协调计划:系统性审查
Ashlee J Vance1,2, Annella Benjamin3, Jessica Hsu3
1Center for Health Policy and Health Services Research, Henry Ford Health, Detroit, Michigan.
Pediatrics
|June 8, 2023
概括
对患有复杂疾病的婴儿的护理协调计划显示了降低死亡率和改善护理质量的好处. 然而,很少有专门为这个年龄组记录的计划,这凸显了需要更多的研究和实施的需要.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 医疗保健服务研究 医疗服务研究
- 护理协调 护理协调
背景情况:
- 对于患有复杂疾病的儿童,护理协调计划越来越多.
- 对专门针对婴儿的节目及其益处的理解有限.
- 婴儿的复杂疾病需要专门的管理和支持.
研究的目的:
- 总结复杂疾病的婴儿护理协调计划的特点.
- 确定与这些计划相关的结果.
- 提供关于婴儿专注护理协调的有效性和可用性的见解.
主要方法:
- 从2010年到2021年,对主要医学数据库 (Medline,Embase,CINAHL,Web of Science) 的系统电子搜索.
- 纳入标准侧重于对复杂疾病的婴儿 (0-1岁) 护理协调计划的同行评审研究,报告婴儿,父母或医疗保健利用结果.
- 数据提取包括程序特征和结果;结果根据这些因素进行了综合.
主要成果:
- 十七项研究确定了12个独特的护理协调计划 (7个基于医院,5个基于门诊).
- 通常报告的好处包括改善患者满意度,增加医疗团队互动,降低婴儿死亡率和减少医疗服务利用率.
- 一些项目报告员工成本增加,这表明改善结果和资源分配之间存在潜在的权衡.
结论:
- 很少有专门为婴儿设计和报告的护理协调计划,这可能导致在文献搜索中不足识别.
- 这些计划显示出在医疗系统,家庭和保险公司之间降低成本的巨大潜力.
- 护理质量的改善是显而易见的,这强调了需要进一步努力,促进和维持这些有益的计划,复杂条件的婴儿.
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