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Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
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提前护理计划在德国
Kornelia Götze1, Berend Feddersen2, Jürgen In der Schmitten3
1Institute of General Practice, Center for Health and Society, Medical Faculty, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany.
概括
德国的提前护理规划 (ACP) 实施面临挑战,原因是辅导员培训不一致,以及对机构因素的考虑不足. 目前正在努力改善非洲和非洲国家和地区的可访问性和一致性.
科学领域:
- 医疗保健政策和管理
- 公共卫生 公共卫生
- 老年学是一门学科.
背景情况:
- 提前护理计划 (ACP) 对于在失能期间将护理与患者偏好保持一致至关重要.
- 德国最初的区域项目证明了非洲和非洲的潜力.
- 2015年立法允许在特定的护理环境中为ACP方便提供法定医疗保险.
研究的目的:
- 评估德国提前护理计划 (ACP) 的实施情况.
- 确定当前的非洲和非洲共同体立法和实践中的挑战和需要改进的领域.
主要方法:
- 对2015年德国法律 (§ 132g,社会法典第五册) 关于ACP促进的分析.
- 在区域项目 (LIMITS, beizeiten begleiten) 中对非洲和非洲国家和地区实施情况的审查.
- 评估非洲和非洲国家协调员的培训要求和资格.
主要成果:
- 2015年立法允许有保险的ACP方便,但缺乏特定的培训师资格和定义的培训计划,导致各种方便者能力.
- 当前的法律框架不充分解决制度和区域实施方面的问题.
- 尽管存在立法缺口,但许多倡议和研究项目正在积极努力扩大ACP.
结论:
- 目前德国关于预先护理规划 (ACP) 的立法需要改进,以确保一致的质量和有效的实施.
- 标准化的培训和对机构/区域整合的关注对于成功的非洲国家和地区来说至关重要.
- 各个利益关方的持续努力对于促进非洲和非洲的可访问性和质量至关重要.
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