适合老年人的医疗保健:整合4M,使适合老年人的癌症保健成为可能
Oliver Hodge1, Tshepo Rasekaba2, Irene Blackberry2,3
1UNSW School of Clinical Medicine, Rural Clinical Campus, Albury Campus, NSW.
Current opinion in supportive and palliative care
|January 22, 2024
概括
年龄友好型卫生系统 (AFHS) 倡议.
科学领域:
- 老年医学 老年医学
- 在瘤学瘤学.
- 医疗保健管理的管理
背景情况:
- 越来越多的老年人需要年龄友好的医疗保健模式.
- 年龄友好型卫生系统 (AFHS) 倡议促进以人为中心的老年人,包括癌症患者的护理.
- 4M框架 (重要的是什么,药物,心理治疗,流动性) 是AFHS倡议的核心.
研究的目的:
- 在各种环境中记录4M实施的实用性和影响.
- 具体研究4M在癌症护理中的实施.
- 提供在癌症中心内实施4M框架的模型.
主要方法:
- 在4M框架内审查基于证据的指导方针 (重要的是什么,药物,心理,流动性).
- 分析不同医疗保健机构成功实施的情况.
- 描述癌症护理中的实施模型和变化管理流程.
主要成果:
- 4M框架改善了对老年人的以人为中心的护理.
- 在初级保健,骨科和癌症护理中记录了成功的实施.
- 积极参与和教育医疗保健提供者对于成功至关重要.
结论:
- 癌症中心可以通过战略变革管理将4M框架整合到现有工作流中.
- 开发能够让医疗保健提供者参与的基础设施,有助于文化转变,转向对老年人友好的过程.
- 质量改进方法对于适应老年友好的护理标准至关重要.
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