实施社会隔离查和一个集成的社区资源推平台
Rose Gunn1, Maura Pisciotta2, Molly Volk2
1From the OCHIN, Inc. Portland, OR (RG, MP, MV, MB, RG, NM); Kaiser Permanente Center for Health Research, Kaiser Permanente, Portland, OR (RG). gunnr@ochin.org.
在初级保健中对老年人进行社会隔离的查可以提高工作人员的意识. 然而,综合推平台可能存在局限性,特别是在农村地区,需要仔细调整工作流程.
科学领域:
- 公共卫生 公共卫生
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老年人的社会隔离和孤独与不良健康结果有关.
- 在COVID-19大流行期间,初级保健机构增加了查和转诊计划.
- 社区卫生中心通过推平台实施了综合社会隔离和孤独查.
研究的目的:
- 探索社区卫生中心实施社会隔离和孤独查计划的经验.
- 评估将社区资源推平台整合到患者推的电子健康记录中.
- 了解这种方案在初级保健中的实际挑战和促进者.
主要方法:
- 在四个社区卫生中心进行的形成性混合方法评估.
- 数据收集包括半结构面试,观察,小组讨论,调查和电子健康记录使用数据.
- 同时分析实施过程中的定性和定量数据.
主要成果:
- 查提高了医疗中心工作人员的知识,并优先考虑社会隔离的老年患者.
- 综合推平台的实用性各不相同,特别是在城市以外的中心.
- 实施需要考虑外部资源目录,工作流调整以及对患者和护理团队的影响.
结论:
- 对老年患者进行社会隔离的查可以提高护理团队对社会风险的认识.
- 在计划实施过程中,转介选择和援助需要仔细考虑.
- 成功的干预需要适应特定的社区环境和工作流集成.
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