[Intermed:在初级保健医学中一个综合护理支持模型]
Olivier Walger1, Anne Bramaud Du Boucheron2, Véronique Haberey-Knuessi3
1MSc, Pr, Haute école Arc Santé - HES-SO, 2000 Neuchâtel.
Revue medicale suisse
|January 25, 2024
概括
互联初级保健辅助护士 (PCN) 模型改善了慢性患者护理协调. 然而,它的独立地位给可持续性带来了经济挑战.
科学领域:
- 初级保健领域的创新.
- 护士在慢性疾病管理中的作用
- 医疗保健系统经济学 医疗保健系统经济学
背景情况:
- 在Intermed的试点项目中,从2014年到2021年,在一般实践中引入了一名初级护理支持护士 (PCN).
- PCN的作用是为了支持对患有复杂慢性疾病的患者进行主动的慢性护理模型.
研究的目的:
- 评估Intermed初级保健辅助护士 (PCN) 模型的影响和可持续性.
- 评估PCN在一般实践环境中的患者护理协调和自我管理中的作用.
主要方法:
- 在7年内对Intermed初级保健辅助护士 (PCN) 模型进行试点研究.
- 在一般诊所内PCN,医生和医务助理之间的合作.
主要成果:
- PCN模型提高了患者护理网络的清晰度和患者的自我控制.
- PCN的综合作用促进了医生之间的密切合作.
- 似乎PCN的服务不会给患者带来任何额外的成本.
结论:
- PCN模型显示了改善慢性护理管理和患者赋权的前景.
- 根据目前的瑞士医疗保险 (LAMal),PCN的独立地位在经济上是不可行的.
- 一个可持续的PCN雇佣就业模式需要开发,以便更广泛地实施.
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