在初级保健中提前护理规划:朝着使对话正常化迈出的一步
Shannon L Roberts1, Susan Joyce2, Anita Greig3
1Is a doctoral student at the Institute of Health Policy, Management and Evaluation and the Joint Centre for Bioethics, Dalla Lana School of Public Health, University of Toronto, and a project-specific bioethics research volunteer student at Hennick Bridgepoint Hospital, Sinai Health, in Toronto, ON.
Healthcare quarterly (Toronto, Ont.)
|November 29, 2023
概括
提前护理计划 (ACP) 对话并不常见. 这个质量改进项目开发了一个以用户为中心的电子表格,以整合非洲和非洲国家和地区的最佳实践,将重点转移到患者价值观上,并将这些讨论在初级保健中规范化.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 初级医疗保健医学 一级医疗保健医学
- 卫生沟通健康沟通
背景情况:
- 预先护理计划 (ACP) 谈话在医疗保健中仍然很少发生,尽管有可用的工具.
- 对ACP存在障碍,阻碍其在患者护理中的常规整合.
- 需要一种新的方法来促进有效的非洲和非洲国家和地区讨论.
研究的目的:
- 开发和实施以用户为中心的干预措施,以提高初级保健中ACP对话的频率和质量.
- 整合ACP的最佳实践,强调患者价值,而不是治疗决策.
- 解决已识别的障碍,并在初级保健环境中使ACP正常化.
主要方法:
- 一个质量改进项目,应用复杂的自适应系统理论.
- 与家庭医生共同设计的带有提示的标准化电子表格 (e-form) 的开发.
- 专注于用户需求和患者价值观,以指导干预设计.
主要成果:
- 开发的电子表格通过将重点转移到患者价值观上,成功地整合了非洲和非洲的最佳实践.
- 该干预措施满足了医疗保健提供者 (用户) 和患者的需求.
- 这种方法解决了现有的障碍,促进了非洲和非洲国家对话的正常化.
结论:
- 一个用户新兴的,标准化的电子表格干预可以有效地促进初级保健的预先护理规划.
- 转移ACP对话到患者价值观是成功实施的关键组成部分.
- 这种干预对各种初级保健实践具有潜在的有用性,这些实践旨在使非洲和非洲的医疗卫生正常化.
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