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老年医学与外科联合管理计划的感知价值:来自三个外科专业的观点
Sonia Gupta1, Lisa Walke2, Mark Simone2
1University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Journal of the American Geriatrics Society
|November 10, 2023
概括
老年人与外科联合管理 (GSCM) 计划被各外科专业的临床医生高度重视,以改善患者的护理和结果. 将GSCM的实施量身定制为特定的外科手术需求,可以提高其有效性和将其纳入实践.
科学领域:
- 老年医学 老年医学
- 手术护理 手术护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老年医学与外科联合管理 (GSCM) 计划旨在提高患者的治疗成果.
- 对于GSCM对护理的影响及其在不同外科专业之间变化的理解有限.
- 这项研究从骨科创伤,创伤和神经外科的临床医生的角度研究了GSCM的影响.
研究的目的:
- 评估GSCM计划在骨科创伤,创伤和神经外科的临床医生中所感知的价值.
- 识别GSCM实施和利用的促进者和障碍者.
- 探索跨手术专业的GSCM感知和影响的差异.
主要方法:
- 在一个学术创伤中心进行了一项混合方法研究.
- 电子调查和虚拟访谈被用来收集来自医生,高级实践提供者,护士,社会工作者和病例经理的数据.
- 关键措施包括对GSCM价值,促进者,医疗问题的管理和影响使用的因素的观点.
主要成果:
- 跨专业的临床医生高度重视GSCM对患者护理,结果和整体专业认知的影响.
- 关键的促进者包括一致的利益相关者,共同的目标,行政支持,老年医生可用性和沟通.
- 关于特定医疗问题的管理,感知到的工作轻松 (对于骨科创伤更容易),协调困难 (神经外科更高) 出现了差异.
结论:
- 各种外科专业的临床医生认为GSCM课程具有显著的价值.
- 在实施或扩展GSCM时,医院应考虑确定方便者.
- 建议将GSCM方法与不同外科专业的特定需求和特征相适应.
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