参与策略的类型,以吸引VA的高风险患者
Alicia A Bergman1, Susan E Stockdale2,3, Donna M Zulman4,5
1VA Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA. Alicia.Bergman@va.gov.
Journal of general internal medicine
|August 24, 2023
概括
这项研究为复杂,高风险的个体确定了两种患者参与策略:促进和自我维持. 专注于患者赋权和教育的自我维持策略,显示出改善长期健康结果的希望.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者参与策略 患者参与策略
- 复杂的护理管理.
背景情况:
- 医疗保健系统面临的挑战涉及复杂的,高风险的患者在他们的护理.
- 有效的患者参与对于改善弱势群体的健康结果至关重要.
研究的目的:
- 识别和描述用于退伍军人卫生管理局 (VA) 密集初级保健 (IPC) 试点计划中的患者参与策略.
- 了解患者和提供者对这些参与策略的体验.
主要方法:
- 使用半结构化的电话采访对29名VAIPC工作人员和51名患者进行定性研究.
- 采访成绩单的专题分析,采用先验和诱导的综合方法.
主要成果:
- 确定了两种主要的参与策略类别:"促进性" (依赖于员工) 和"自我维持性" (专注于患者).
- 促进策略包括加强获得,协调护理,建立信任和解决健康的社会决定因素.
- 自我维持的策略集中在患者赋权,教育,护理人员支持和建立界限上,导致报告的长期临床改善和行为改变.
结论:
- 便利和自我维持的策略是有效的参与复杂的,高风险的患者.
- 密集的初级保健计划应该考虑将自我维持的参与策略纳入其设计.
- 需要进一步的研究来验证自我维持策略对健康结果的有效性.
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