年龄友好的医疗保健和RN领导的年度健康访问中的4M
Jason T Garbarino1,2, Sharon O'Connor3, Renée L Pepin3
1Department of Nursing, University of Vermont, Burlington, Vermont, USA.
Journal of the American Geriatrics Society
|December 1, 2023
概括
注册护士领导的医疗保险年度健康访问 (AWVs) 成功整合了4M框架,增强了患者护理并增加了提供者访问. 这种方法优化了RN在初级保健机构的实践范围.
科学领域:
- 老年医疗护理 医疗护理
- 主要护理实践的初级护理实践
- 促进健康 促进健康
背景情况:
- 医疗保险年度健康访问 (AWV) 是免费的,针对医疗保险受益人的预防服务.
- AWV强调健康维护,风险评估,疾病预防和独立.
- 4M框架 (重要的是什么,药物,心理,流动性) 与RN范围和年龄友好型护理保持一致.
研究的目的:
- 评估在RN领导的医疗保险AWV中实施4M框架的情况.
- 评估该模型对患者获得护理的影响.
- 了解患者对"什么最重要?"的看法. 在AWV的背景下.
主要方法:
- 在一次初级保健实践中对571名医疗保险患者进行了试点研究.
- 实施RN主导的医疗保险AWV,使用4M框架.
- 数据收集对访问影响的访问和患者对"什么最重要?"的反应. 问题.问题.问题.
主要成果:
- 由RN领导的AWV是成功的,对实践有利.
- 每次RN领导的访问每天为每个提供者释放2次额外的急性/监测访问,改善了访问.
- 纳入4M问题促进了关于福祉,压力因素,生活质量和护理目标的讨论.
结论:
- 在4M框架下,RN主导的Medicare AWV增强了RN在初级保健中的角色,重点是健康促进.
- 这种模式将RN的利用范围扩展到其实践的全部范围.
- 由RN领导的AWV提高了提供者的可用性,并促进了关于生活质量和心理健康的关键对话.
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