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在家庭医疗小组模型中开发一个跨专业的决策支持工具,用于初级保健中糖尿病足的管理:加拿大的Delphi研究
Magali Brousseau-Foley1,2, Virginie Blanchette3,4, Julie Houle5
1Department of Human Kinetics, Université du Québec à Trois-Rivières, Boul. Des Forges, Trois-Rivières, Québec, 3351G8Z 4M3, Canada. magali.brousseau-foley@uqtr.ca.
BMC primary care
|April 20, 2024
概括
一个新的决策工具有助于初级保健团队有效地管理糖尿病足. 这种经过验证的工具指导专业人员通过护理途径,改善协调和遵守指导方针,以获得更好的患者结果.
科学领域:
- 专业间医疗保健是专业间的医疗保健.
- 临床决策支持系统临床决策支持系统
- 糖尿病管理 糖尿病管理
背景情况:
- 初级保健部门在管理糖尿病足和协调专业护理方面面临着挑战.
- 家庭医学小组的目标是提高医疗服务的准入,跨学科的合作,以及医疗服务的质量.
- 糖尿病足需要协调管理,以防止并发症并减少医疗保健利用率.
研究的目的:
- 开发和验证一个跨专业的决策支持工具,用于管理糖尿病足.
- 为家庭医学小组的初级保健专业人员提供结构化管理指南.
- 加强对糖尿病足患者的护理协调.
主要方法:
- 一个单页的决策工具是使用三轮Delphi协议与专家小组开发和验证的.
- 该工具包含43个行动和从初始呈现到二次预防的护理途径.
- 共识被定义为>=80%的同意,数据使用描述性统计数据进行分析.
主要成果:
- 这项研究包括12个从事糖尿病足治疗的专业专家.
- 最终决策支持工具中的所有43个项目都达到了共识,被认为是明确的,相关的和可行的.
- 每个行动的责任都被明确地分配给特定的专业人士.
结论:
- 一个全面的决策支持工具,用于初级保健管理糖尿病足的成功开发和验证.
- 该工具旨在指导初级保健专业人员实施基于证据的实践.
- 未来的临床实施和评估是必要的,以评估该工具的影响.
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