关于农村环境中的护理协调的实践观点
Julie M Kapp1,2,3,4, Beau Underwood1,2,3,4, Kristi Ressel1,2,3,4
1Julie M. Kapp, PhD, MPH, is an Associate Professor in the College of Health Sciences at the University of Missouri. Her formal training is in epidemiology and public health. She is nationally recognized by the American College of Epidemiology as a Fellow for her significant and sustained contributions to the field.
农村卫生组织正在将社会服务纳入护理协调,解决交通,心理健康,食品和住房需求. 尽管面临挑战,但仍有创新的解决方案正在出现,以提高不同人群的护理质量.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
- 护理协调 护理协调
背景情况:
- 社会需求和非医疗健康决定因素越来越多地被纳入护理协调.
- 加强护理协调的运行,特别是在农村环境中,并未得到充分理解.
研究的目的:
- 确定农村环境中的护理协调实践,将社会服务与医疗保健整合起来.
- 评估与推标准相比提供的护理质量.
主要方法:
- 混合方法研究涉及16个关键告密者结构化访谈.
- 与密苏里州农村卫生和医疗保健机构的员工和管理人员进行的采访.
主要成果:
- 组织报告说,平均照顾协调人数为800人,病例经理人数平均为11人.
- 卫生服务的社会决定因素的普遍性:100%的交通,86%的心理健康,79%的食物,71%的住房,50%的牙科.
- 基本护理协调质量指标的实施率从41.7%到100%不等.
结论:
- 本研究提供了关于农村护理协调实践和质量评估的见解.
- 为农村卫生组织介绍了加强护理协调举措的创新跨专业示例.
- 随着护理协调的发展,包括健康的社会决定因素,质量护理的基本障碍仍然存在.
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