在英国全科医院提供关联性护理连续性:一个范围审查
Miglena N Fox1,2, Jon M Dickson3, Patrick Burch4
1Centre for Health and Related Research, University of Sheffield, Sheffield, UK.
护理的关系连续性,即患者看同一个全科医生,在英国的全科医院正在下降. 本次审查确定了17项旨在改善连续性的干预措施,但它们的各种方法和弱的证据基础使得有效性比较具有挑战性.
科学领域:
- 一般实践研究研究 一般实践研究
- 医疗保健管理的管理
- 患者的治疗结果.
背景情况:
- 关联性护理连续性,定义为患者看同一个全科医生 (GP),与改善患者的治疗结果有关.
- 然而,在英国的一般实践环境中,人们观察到关系连续性正在下降.
研究的目的:
- 系统地识别和理解英国一般实践中实施的干预措施,以增强护理的关系连续性.
- 分析这些干预的战略,范围和目标.
主要方法:
- 对英国全科医院的英语文献和灰色文献进行了全面的范围审查.
- 在MEDLINE,Embase和Scopus数据库 (2002年至今) 的搜索中,发现了详细介绍实现关系连续性的服务级方法的研究.
- 使用干预描述和复制模板 (TIDieR) 框架描述干预,并构建了一个逻辑模型.
主要成果:
- 确定了17种不同的干预措施,采用各种策略,如个人患者名单,修改预订系统,定期审查,数字技术和急性枢纽.
- 干预措施的重点各不相同,有些针对特定的患者群体,而另一些则旨在改善普遍的连续性.
- 测量连续性变化是不一致的,使用多种不同的方法跨研究.
结论:
- 英国的全科医生已经采用了一系列策略来改善护理的关系连续性.
- 尽管存在着共同的基本逻辑,但干预措施在范围,目标和方法方面存在相当大的差异.
- 目前的证据基础不足以对这些不同干预措施的有效性进行可靠的比较.
更多相关视频
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
相关概念视频
Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
