一个概念框架,用于建立个人和团队的能力,以提供有效的长度,基于关系的临床病例管理
Patrick Runnels1,2, James Penman2, Steve Schreiber2
1Department of Population Health, University Hospitals, Shaker Heights, Ohio, USA.
Population health management
|November 13, 2023
概括
患有复杂慢性疾病的患者需要两阶段的护理模式. 这种方法优先考虑建立信任和伙伴关系,以解决多方面的健康和社会需求,以改善结果.
科学领域:
- 医疗保健管理的管理
- 慢性疾病管理 慢性疾病管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有复杂慢性疾病的个人占医疗保健成本的不成比例.
- 这些患者经常出现同时出现的身体健康状况,行为健康问题和健康挑战的社会决定因素.
- 他们的需求的多面性质挑战了简单的,孤立的解决方案.
研究的目的:
- 提出一个新的两阶段框架,旨在改善复杂生活患者的健康结果.
- 详细介绍该框架的操作组件,并分享实际见解.
- 为管理高需要人群的医疗保健系统提供结构化的方法.
主要方法:
- 第1阶段涉及病例管理人员与患者建立信任关系,以共同确定健康目标和需求.
- 这个基础阶段需要大量的时间投入,患者的接受和持续的承诺.
- 第二阶段的重点是共同创建健康途径,解决优先考虑的问题,并调整卫生系统.
主要成果:
- 描述的框架促进了以患者为中心的复杂护理方法.
- 强调建立关系和信任对于有效的干预至关重要.
- 该模型支持综合护理,解决身体,行为和社会需求.
结论:
- 一个结构化的,基于关系的,两阶段的框架可以改善复杂慢性疾病患者的治疗结果.
- 医疗保健系统必须适应以支持这种以患者为中心的整体护理模式.
- 持续的病例管理和患者参与是解决复杂的健康和社会需求的关键.
相关概念视频
Methods of Documentation VI: Case Management Model
576
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
576
Nursing Clinical Information System
785
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
785
Modeling in Therapy
90
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
90
Patient-centered Care
2.0K
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...
2.0K
Community Based Intervention
45
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
45
Interdisciplinary Care: The Health Care Team-I
1.6K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.6K


