医院护理协调小组对多病症患者的干预:基于实践的参与式试点研究
Marlies Verhoeff1,2,3, Janke F de Groot2, Hanneke Peters-Siskens4
1Department of Internal Medicine, University Center of Geriatric Medicine, University Medical Center Groningen, Groningen, The Netherlands.
Chronic illness
|September 6, 2023
概括
这项试点研究开发了一个医院护理协调小组干预方案,用于多病症患者. 干预结果不尽相同,强调需要精确的患者选择和数据收集方法,以有效协调护理.
科学领域:
- 医疗保健管理的管理
- 临床干预 临床干预
- 患者护理协调与协调
背景情况:
- 多种疾病带来复杂的护理挑战.
- 有效的护理协调对于管理多种慢性疾病至关重要.
- 现有的医院护理协调模型需要评估和改进.
研究的目的:
- 开发和试点医院护理协调小组干预多病症患者.
- 确定关键的不确定性和改善护理协调交付的领域.
- 评估干预的可行性和初步结果.
主要方法:
- 一个基于实践的参与式试点研究,采用混合方法.
- 包括高专科诊所利用率 (≥7诊所/年) 的成年患者.
- 干预涉及摄入,全面审查,咨询和专业团队的后续预约.
主要成果:
- 在131名受邀患者中,有28人完成了干预.
- 观察到混合的输出和短期结果.
- 21名参与者接受了跨药物,专家和其他类别的建议;经历的影响差异很大.
结论:
- 为了获得最佳的患者利益,需要完善招聘和选择流程.
- 调整研究和临床结果至关重要,优先考虑护理协调结果.
- 需要进行进一步的研究,以解决患者鉴定和收集护理协调数据的不确定性.
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