围绕患者特征设计组织和临床过程:来自血友病多个案例研究的证据
Stefano Villa1,2, Raimondo De Cristofaro3, Giovanni Di Minno4
1Università Cattolica Del Sacro Cuore, Milano, Italy.
Health services management research
|February 14, 2024
概括
围绕患者个人资料组织护理,比如血友病患者,揭示了各种服务需求和成本. 将临床途径与这些个人资料相适应,对于高效,协调的医疗保健服务至关重要.
科学领域:
- 医疗保健管理的管理
- 临床路径设计
- 以患者为中心的护理
背景情况:
- 越来越多的证据支持围绕复杂慢性疾病患者特征组织医疗保健.
- 患者的个人资料显著影响所需服务的强度.
研究的目的:
- 根据服务强度,在血友病中定义同质的患者个人资料.
- 以多学科的方式确定围绕这些个人资料重新组织护理的条件.
主要方法:
- 采用多个案例研究方法,结合定性和定量方法.
- 利用半结构面试和直接观察来绘制护理流程并估计成本.
- 应用方法在三个高标准的中心与愿意管理,护士和医生.
主要成果:
- 在血友病中,不同的患者形状需要不同的诊断和治疗活动.
- 在临床途径开发中考虑患者的特征影响着组织和经济因素.
- 组织和经济影响的显著差异来自量身定制的患者资料.
结论:
- 基于过程的分析对集成支付系统至关重要,但耗时.
- 碎片化和垂直设计的医疗保健信息系统对实施基于患者个人资料的护理构成了挑战.
- 未来的医疗保健系统需要更好的整合,以有效地支持以患者为中心的护理模式.
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