实施全人初级保健: 一年长的学习协作学习结果
Elena Rosenbaum1, Andrea E Gordon1, Jake Cresta1
1From the Associate Professor, Department of Family and Community Medicine, Albany Medical College; Associate Professor of Family Medicine, Tufts University School of Medicine, Boston, MA (AEG); Medical Student, Uniformed Services University of the Health Sciences (JC); Professor and Vice Chair of Family Medicine for Research, Tufts University School of Medicine, Boston, MA (AFS); President, Healing Works Foundation, healing@healingworksfoundation.org (WBJ).
综合健康学习协作 (IHLC) 在初级保健机构成功实施了全人护理. 这一举措增强了临床实践,参与者的技能和对综合医疗服务的态度.
科学领域:
- 主要护理转型的变革
- 整合性健康 整合性健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国国家医学院倡导建立一个
- 整个人,整个人.
- 主要护理模式,强调以人为中心,基于关系的护理,整合社会,精神,情感和行为健康方面.
- 目前的医疗保健提供工具,如SOAP Note,不足以在实践中捕捉和组织这些整体元素.
研究的目的:
- 建立和评估综合健康学习协作 (IHLC),旨在实施和测试新的工具,以转变初级保健实践,以实现全人护理模式.
- 解决现有的文档工具在捕捉整体人体护理的全面方面存在的局限性.
主要方法:
- 该IHLC涉及初级保健实践,致力于全身护理,由综合健康和变化管理专家指导.
- 每月的虚拟会议促进了战略制定和工具调整,利用HOPE Note工具包,变革管理策略和质量改进技术.
主要成果:
- 十六家诊所完成了为期一年的计划,利用HOPE Note工具与942名患者进行了治疗.
- 参与者报告了临床实践效率的显著改善,增强技能和态度,以及强大的变化管理支持.
结论:
- 在线学习协作有效地支持初级保健实践在实施全人护理模式.
- 该计划明显改善了所有参与诊所的全人护理的理解,技能和交付能力.
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