在多病症中提高护理的决定因素的引发和优先考虑:一个修改的在线Delphi研究
Glenn Simpson1, Beth Stuart2, Marisza Hijryana3
1Primary Care Research Centre, University of Southampton, Southampton, UK.
Journal of multimorbidity and comorbidity
|September 11, 2023
概括
改善对多种疾病患者的护理需要向整体,协调的方法转变. 关键决定因素包括以人为中心的护理和解决非医疗需求,超越单一疾病模型.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 多种疾病对全球卫生和社会护理系统构成重大挑战.
- 关于影响多种疾病患者护理的更广泛的上下文决定因素的研究有限.
- 这项研究旨在确定和优先考虑关键因素,以加强对多病症患者的护理.
研究的目的:
- 引出和优先考虑改善多种健康状况的个体护理的决定因素.
- 了解不同利益相关者对多病症护理的看法.
- 为复杂患者群体制定更有效的护理策略提供信息.
主要方法:
- 进行了三轮的在线Delphi研究.
- 参与者包括英国的卫生和社会护理专业人员,数据科学家,研究人员,多病症患者和他们的护理人员.
- 在改善护理的决定因素上寻求专家的共识.
主要成果:
- 目前的护理系统仍然主要集中在单个条件上.
- "以人为中心和整体的护理"和"协调和联合护理"被确定为改善多病症护理的高度评级的决定因素.
- 确定了对整体护理至关重要的几个非医学决定因素.
结论:
- 为了有效地管理多病症患者的复杂需求,向整体和以患者为中心的模式过渡至关重要.
- 目前的护理模式需要从单一条件的生物医学重点发展到基于人的生物心理社会方法.
- 实现真正的综合和以人为中心的多病症护理方法仍然是一个持续的挑战.
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