将社区卫生工作者纳入多学科团队的理由和后勤
Elizabeth M Vaughan1,2, Aliye B Cepni3, Uyen Phuong N Le3
1Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA.
社区卫生工作者 (CHWs) 通过提供生活方式干预和护理准入来改善糖尿病护理. 解决将他们纳入多学科团队的障碍是利用他们全部潜力的关键.
科学领域:
- 公共卫生 公共卫生
- 行为医学是一种行为医学.
- 医疗保健管理的管理
背景情况:
- 社区卫生工作者 (CHWs) 在提供行为生活方式干预方面至关重要,特别是在服务不足的人群中.
- 医疗保健工作室是寻求适当医疗保健的患者的关键第一接触点.
- 他们信任的社区角色能够对心理社会和生物医学健康结果产生重大影响.
研究的目的:
- 突出社区卫生工作者 (CHW) 在糖尿病护理中的价值.
- 确定阻碍医疗保健工作者融入多学科团队 (MDT) 的障碍.
- 讨论克服这些障碍和提高CHW利用的战略.
主要方法:
- 关于CHW在慢性疾病管理中的作用的文献综述.
- 对CHW在医疗保健团队中整合障碍的分析.
- 讨论标准化培训需求和实施策略.
主要成果:
- 医疗保健工作表明,它对糖尿病护理患者的结果产生了显著的积极影响.
- 缺乏对MDTs的认可和整合导致CHW服务的不足利用.
- 标准化培训和明确的角色被认为是有效纳入CHW的关键.
结论:
- 将CHW整合到MDT中可以优化糖尿病护理和患者的治疗结果.
- 通过标准化培训和认可克服障碍对于最大限度地提高CHW贡献至关重要.
- 加强与医疗保健工作者的合作可以改善服务不足社区的医疗保健获取和管理.
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