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Restorative Care01:19

Restorative Care

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Methods Of Healthcare Delivery System01:26

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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中国的急性后护理:发展,挑战和前进的道路

Fangli Geng1, Zhanqin Liu2, Runnan Yan3

  • 1PhD program of Health Policy, Harvard Graduate School of Art and Science, Cambridge, MA, USA; Department of Health Care Policy, Harvard Medical School, Boston, MA, USA.

Journal of the American Medical Directors Association
|November 7, 2023
PubMed
概括

中国中国中国中国.

关键词:
中国中国中国中国.在急性病后的护理.医疗保健改革 医疗保健改革卫生系统 卫生系统康复康复康复康复康复康复

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科学领域:

  • 医疗保健政策 医疗保健政策
  • 康复医学 康复医学 康复医学
  • 医疗保健服务研究 医疗服务研究

背景情况:

  • 中国的急性后护理 (PAC) 系统在过去二十年里发生了重大变化.
  • 中国的PAC服务涵盖多个不同环境,包括医院,康复中心,熟练护理设施,社区卫生中心和家庭护理.
  • 需要PAC的患者通常在急性住院后有功能障碍,需要持续护理.

研究的目的:

  • 评估过去20年中中国急性后护理 (PAC) 系统的演变和挑战.
  • 提出可行的政策建议,以改善PAC系统.

主要方法:

  • 追溯审查与PAC系统发展相关的政策和举措.
  • 在全球PAC实践的背景下,分析持续存在的挑战.
  • 通过全面的文献评论和专家合作讨论获得信息.
  • 利用政府政策文件,统计数据,同行评审研究和灰色文献.

主要成果:

  • 中国通过改善基础设施,分层康复网络和创新的支付模式,加强了其PAC系统.
  • 持续存在的挑战包括缺乏临床共识,资源限制 (设施和专业人员),需要护理协调,以及分散的评估/支付工具.
  • 尽管取得了进展,但在优化PAC系统方面仍然存在重大障碍.

结论:

  • 在过去的二十年里,中国在急性病后护理体系方面取得了实质性的进展.
  • 持续的政策调整和提高意识对于应对现有挑战和优化PAC系统至关重要.
  • 解决资源限制和标准化评估和支付机制是未来发展的关键.