在初级保健中协调护理:绘制领土地图
Leif I Solberg1, Anna Bergdall, Jeanette Y Ziegenfuss
1HealthPartners Institute, PO Box 1524, Mail Stop 21112R, Minneapolis, MN 55440-1524.
The American journal of managed care
|October 23, 2023
概括
在明尼苏达州的护理系统中,护理协调方法是相似的,尽管规模和资源有所不同. 这项研究为研究人员和领导者绘制了当前趋势.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 护理协调 护理协调
背景情况:
- 护理协调对于管理多种慢性疾病的患者至关重要.
- 了解不同的护理系统如何实施护理协调对于改善医疗保健提供至关重要.
- 明尼苏达州是检查护理协调策略的代表性案例研究.
研究的目的:
- 记录和分析明尼苏达州各种护理系统的当前护理协调方法.
- 根据系统规模和资源,识别护理协调策略的差异和相似之处.
- 为了解照顾协调的实施趋势提供见解.
主要方法:
- 在明尼苏达州护理系统的领导者中进行了一项观察性调查.
- 调查问题集中在组织结构,规模和护理协调策略上.
- 收集了来自42个护理系统的数据,其中包括327个初级保健诊所.
主要成果:
- 在小型,中型和大型护理系统中实现了100%的响应率.
- 大型护理系统每位护理协调员使用的临床医生更多,并且更有可能包括社会工作者.
- 尽管资源不同,但在护理协调中使用的核心服务和复杂性工具在各个系统中基本上是相似的.
- 几乎所有的系统都解决了复杂患者的医疗和社会需求.
结论:
- 护理系统之间资源和能力的显著差异并没有转化为护理协调方法的重大差异.
- 该研究提供了明尼苏达州护理协调的宝贵概述,帮助研究人员和领导者了解实施情况并指导未来的评估.
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