将一个分散的老年医疗保健系统粘在一起将是困难的. 现在是联合行动的时候了
Christopher C Colenda1, William B Applegate2
1President Emeritus, West Virginia University Health System, Former Chancellor for Health Sciences, West Virginia University, Adjunct Professor of Gerontology and Geriatrics, Department of Internal Medicine, Wake Forest University School of Medicine (CCC), Morgantown, WV.
概括
整合老年临床服务线 (GCSLs) 面临着美国医疗保健系统的重大挑战. 克服劳动力短缺和系统失调需要政策倡导,劳动力扩张和重定优先级的企业行为,以改善老年人护理.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 医疗保健政策 医疗保健政策
背景情况:
- 综合老年临床服务线 (GCSL) 很难在美国医疗保健系统中建立,原因是劳动力短缺,老年教育不一致,年龄歧视和错误的基础设施.
- 美国医疗保健系统的费用服务 (FFS) 模式,专业化增加和医疗保健系统的整合阻碍了GCSL的传播.
- 患有复杂疾病的老年人需要纵向,跨学科的护理,而目前的系统往往无法提供这些护理.
结论:
- 在美国成功实施和扩展老年临床服务线 (GCSLs) 需要进行重大系统变化.
- 建议的干预措施包括为健康政策立法提供地方政治宣传,通过非传统方法扩大老年人才,以及改变医疗保健系统中的企业行为.
- 这些努力对于改善患有复杂医疗,认知和神经精神疾病的老年人护理结果至关重要.
相关概念视频
Introduction To Health Care Delivery System
2.7K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.7K
Tertiary Healthcare System
1.8K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.8K
Integrated Healthcare System
1.6K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.6K
Documentation in Long-Term and Home Healthcare Setting
888
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
888
Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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...
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...
3.3K


