对心力衰竭的支持性护理的混合方法景观评估
Nasir Sulemanjee1, Vida Vizgirda1, Krishna Naik2
1Aurora Health Care (now part of AdvocateHealth), Milwaukee, WI 53202, USA.
Future cardiology
|March 8, 2024
概括
领先的卫生系统 (LHS) 在心力衰竭 (HF) 计划中表现出不同的成熟度,这表明需要医疗标准化. 外部支持可以帮助LHS加强HF治疗,并成为更全面的护理提供者.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
背景情况:
- 领先的卫生系统 (LHS) 对于推进心力衰竭 (HF) 护理至关重要.
- 了解他们对HF治疗的看法对于改善患者的治疗结果至关重要.
- 现有的HF项目表现出不同程度的发展和运营成熟度.
研究的目的:
- 探索影响LHS关于心力衰竭治疗策略的观点的因素.
- 在领先的卫生系统内确定目前的实践,挑战和HF护理的机会.
主要方法:
- 一种混合方法的方法,结合了定量调查 (n=35) 和定性访谈 (n=12).
- 从47名代表41个不同的领先卫生系统的参与者收集的数据.
- 涉及高管和前线医疗保健提供者的横截面描述性研究设计.
主要成果:
- 几乎所有 (97%) 接受调查的LHS都建立了专门的心力衰竭计划.
- 计划成熟度的显著差异表明了标准化护理协议的机会.
- 由于提供者和患者之间的障碍,医疗保健提供者在采用治疗创新方面面临挑战.
- 虽然共同定位支持性护理服务是目标,但获取仍然是一个重大挑战.
结论:
- 领先的卫生系统可以通过外部支持来加强其作为综合性心力衰竭护理提供者的作用.
- 跨不同LHS的护理标准化是一个可实现的目标.
- 改善获得支持性服务的机会是优化心力衰竭治疗结果的关键.
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