团队合作及其对初级保健中慢性疾病临床结果的影响:系统性审查和元分析
Meera Tandan1, Shane Dunlea1, Walter Cullen1
1School of Medicine, University College Dublin (UCD), Dublin, Ireland.
Public health
|February 27, 2024
概括
基于团队的干预措施通过降低血压和HbA1C,显著改善慢性疾病管理. 结合更多的团队工作组件可以增强这些积极的临床结果.
科学领域:
- 医疗保健管理的管理
- 临床结果研究研究
- 主要护理医学 医疗保健
背景情况:
- 团队合作因其对员工绩效和慢性疾病管理中的患者结果的积极影响而得到认可.
- 然而,特定的团队工作组件对临床结果的影响仍未得到充分研究.
- 本综述侧重于慢性疾病的初级保健机构.
研究的目的:
- 系统地审查和分析特定团队工作组件对慢性疾病初级保健关键临床结果的影响.
- 确定哪些团队工作方面在改善患者健康方面最有效.
- 突出当前关于在慢性疾病管理中团队合作的研究中的差距.
主要方法:
- 1988年至2021年间发表的研究的系统审查和元分析.
- 在EMBASE,PubMed和Cochrane控制试验中央注册表中进行的搜索.
- 纳入标准:初级保健环境,慢性疾病,至少有一个团队合作组成部分,以及报告的临床结果.
主要成果:
- 审查了54项研究,发现以团队为基础的干预措施降低了静缩血压 (MD = 5.88),静缩血压 (MD = 3.23) 和HbA1C (MD = 0.38).
- 结合4-5组组件的干预措施在降低血压方面表现出更大的有效性,而不是那些组件较少的干预措施.
- 共同决策,角色分享和领导力等关键组成部分很少被报告. 对胆固醇,住院和COPD结果的分析是有限的.
结论:
- 基于团队的干预措施在改善慢性疾病的临床结果方面是有效的,特别是血压和HbA1C.
- 干预措施的有效性随着使用的团队工作组件数量的增加而增加.
- 进一步的研究是必不可少的,以探索团队合作对胆固醇水平,住院和慢性阻塞性肺病管理的影响,并优化针对不同患者群体的干预措施.
相关概念视频
01:15Methods of Documentation VI: Case Management Model
573
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
573
01:29Chronic Pancreatitis II: Collaborative Care
90
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
90
01:21Interdisciplinary Care: The Health Care Team-I
1.6K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.6K
01:18Interdisciplinary Care: The Health Care Team-II
1.4K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.4K
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.8K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.8K