为初级保健提供老年人跨专业团队转型概述
Ellen Flaherty1, Sharon O'Connor2, Crystal N Steltenpohl2
1Dartmouth Health Geriatric Center of Excellence, Lebanon, New Hampshire, USA.
Journal of the American Geriatrics Society
|December 1, 2023
概括
老年人专业团队转型为初级保健 (GITT-PC) 模型增强了对老年人的护理. 这项经济可持续的计划改善了老年护理的提供,并证明了初级保健实践的强有力的商业案例.
科学领域:
- 老年医学 老年医学
- 初级保健领域的创新.
- 医疗保健系统转型 医疗保健系统转型
背景情况:
- 初级保健的老年人跨专业团队转型 (GITT-PC) 模型建立在基础的老年人跨学科团队培训 (GITT) 计划的基础上.
- GITT-PC是为了满足老年人在不断变化的医疗保健领域的复杂需求而开发的.
- 该模型结合了最佳实践和从以前的老年人培训计划中吸取的经验教训.
研究的目的:
- 介绍初级保健的老年人专业间团队转型 (GITT-PC) 模型.
- 突出其从一个学术课程的演变到一个财务上可持续的模式.
- 证明其可用于改善初级保健机构对老年人的护理.
主要方法:
- 实施GITT-PC涉及跨专业团队和社区提供者,专注于患者的需求和偏好.
- 该模型集中在四个核心老年护理组件上:健康促进,慢性疾病管理,高级护理计划和过渡性护理管理.
- 每个组件都旨在与医疗保险可偿还的访问保持一致.
主要成果:
- 实施GITT-PC有助于提供基于证据的老年医疗护理.
- 该模型为初级保健实践提供了巨大的投资回报潜力.
- 可偿还的服务是GITT-PC模型的财务可持续性的关键.
结论:
- GITT-PC模型代表了从学术培训计划向经济可行的方法的成功过渡.
- 它系统地改变了团队,以改善老年人的护理,为初级保健提供了一个明确的商业案例.
- 通过GITT-PC计划,可以加强或扩大年度健康访问 (AWV),包括由注册护士 (RN) 领导的健康访问.
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