实施社区护理医疗:一个已知的参与者在一个新的角色. 一个叙事审查
Evelien Spelten1, Brodie Thomas1, Julia van Vuuren1
1Violet Vines Marshman Centre for Rural Health Research, Rural Health School, La Trobe University, Victoria, Australia.
Australasian emergency care
|August 11, 2023
概括
社区护理医疗模式被接受并降低了成本,但长期的健康影响和融入医疗保健系统需要进一步研究. 解决不熟悉的情况是实现更广泛采用的关键.
科学领域:
- 提供医疗保健的模式.
- 公共卫生干预措施 公共卫生干预措施
- 护理人员的实践实践
背景情况:
- 社区护理医疗 (CP) 为服务不足的人群提供有效的初级保健,解决医疗保健服务缺口.
- 该模型得到了医疗保健专业人员和社区的良好接受.
- CP的目标是改善弱势群体的获取和成果.
研究的目的:
- 确定成功的社区护理医疗实施策略.
- 突出CP模式采用的机遇和挑战.
- 评估CP与医疗保健重新设计框架的协调程度.
主要方法:
- 对14篇文献评论进行了叙事审查.
- 在EMBASE,CINAHL,PubMed和Cochrane数据库中进行了搜索.
- 主题分析结果使用四重目标框架进行了结构化.
主要成果:
- 社区护理医疗模型证明了患者的满意度和降低成本的潜力.
- 对患者健康和更广泛的卫生系统的长期积极影响的证据有限.
- 关于CP在综合医疗保健系统中的作用尚不清楚.
结论:
- 社区护理医疗可以通过使用注册护理人员来减轻医疗保健系统的压力.
- 需要进一步研究CP对患者和医疗保健系统的长期影响.
- 提高对CP的理解和整合对于其成功采用至关重要.
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