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开发初级保健的认知评估工具包:对提供者需求和临床实践中的可用性认知能力的定性评估
Monica Zigman Suchsland1, Barak Gaster2, Jaqueline Raetz3
1Department of Family Medicine, University of Washington, 1959 NE Pacific St, Box 356390, Seattle, WA, 98195-6390, USA. mzigman@uw.edu.
BMC health services research
|September 19, 2023
概括
初级保健提供者 (PCP) 发现认知评估工具包很有用,但需要简单,高效的实施. 改善痴呆症检测需要将这些工具无地集成到临床工作流程中,以便患者更好地导航护理选择.
科学领域:
- 老年学是一门学科.
- 主要护理医学 医疗保健
- 认知健康 认知健康
背景情况:
- 全球痴呆症负担正在上升,需要在初级保健机构提前检测.
- 早期痴呆症在初级保健中经常被低诊断,这阻碍了及时干预.
- 痴呆症的积极管理提供了显著的好处,使得早期发现至关重要.
研究的目的:
- 探索初级保健提供者 (PCP) 关于将认知评估工具包整合到常规实践中的观点.
- 确定在初级保健中实施痴呆症查工具包的障碍和促进因素.
主要方法:
- 一项定性研究,涉及美国卫生系统中10名PCP的半结构面试.
- 探索提供者对认知评估工具包实施的看法,该工具包是从美国老年学会 (GSA) 的KAER工具包中改编的.
- 采访数据的内容分析,以确定关键主题和提供者见解.
主要成果:
- 认知诊断人员认为认知评估工具包是有价值的,但建议改进术语 (例如",Kickstart") 以提高痴呆症护理的清晰度.
- 提供者强调需要轻松整合到临床工作流程和高效实施.
- 虽然PCP知道转诊资源,但他们对指导患者通过可用的选择表示不确定性.
结论:
- 简单性,易用性和效率是成功实施认知评估工具包在初级保健中的关键因素.
- 根据PCP反调整临床工具和工作流程可以提高认知评估的采用率.
- 解决有关工作流集成和患者导航支持的供应商担忧是提高痴呆症检测率的关键.
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