长期护理中的政策决策:COVID-19大流行期间感染控制的教训
Rand health quarterly
|June 19, 2023
概括
长期护理机构的感染控制政策必须包括居民和工作人员的投入,以改善福祉. 包容性决策对于改变长期护理文化和加强以居民为中心的政策至关重要.
科学领域:
- 公共卫生 公共卫生
- 老年学是指老年学的学科.
- 卫生政策 卫生政策
背景情况:
- COVID-19大流行凸显了长期护理 (LTC) 感染控制政策的缺陷.
- 政策经常在没有居民,家庭或工作人员的意见的情况下制定,从而对居民的健康产生负面影响.
- 迫切需要改革LTC,以优先考虑居民和护理人员的需求.
研究的目的:
- 审查感染控制政策决策,并建议采取行动项目,以促进LTC的包容性决策.
- 在LTC政策制定中为文化变革奠定基础.
- 倡导长期护理中以居民为中心的方法.
主要方法:
- 审查LTC设施内的感染控制政策决策.
- 与各种利益相关者进行指导性讨论,包括居民,员工,管理人员和行业代表.
- 对改善政策的拟议行动项目进行分析.
主要成果:
- 感染控制政策经常在没有关键利益相关者的参与的情况下制定.
- 缺乏投入导致对居民的身体和精神健康产生不利影响.
- 该研究发现了更多包容性和有效的政策制定机会.
结论:
- 改变LTC文化需要优先考虑居民的需求和偏好.
- 包括居民,家庭和工作人员参与的包容性政策制定是必不可少的.
- 加强设施领导力,包容性,透明度和问责是改善LTC的关键.
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