弥合慢性病的证据和实践差距:一种系统思维方法来解决人口健康问题
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Aparna Padiyar1, Nagaraju Sarabu1, Shruti Ahlawat1
1Division of Nephrology, Department of Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.
Population health management
|May 27, 2024
概括
改善慢性病 (CKD) 护理需要解决查和诊断缺陷. 一个领导模式改变了护理的提供,围绕患者的需求进行组织,以获得更好的结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 慢性病 (CKD) 是一种严重的健康负担,由于其无症状性质和全身护理缺陷,经常被诊断为晚期.
- 在CKD查和诊断中存在缺陷,由低健康素养,健康的社会决定因素以及初级保健提供者 (PCP) 和科医生之间的分散护理加剧.
研究的目的:
- 在卫生系统和国家范围内定义和量化CKD护理中的缺陷.
- 描述一种新的三支柱领导模式 (相信,归属,构建) 以转变CKD护理提供.
- 引入CKD卓越体系的概念,以整合和改善以患者为中心的护理.
主要方法:
- 在CKD查和诊断中对护理缺陷的分类.
- 应用三支柱领导模式:相信 (集体责任),归属 (学习社区) 和建设 (管理基础设施).
- 在卫生系统中开发和试点测试CKD卓越体系.
主要成果:
- 量化患者暴露于国家和负责任的护理组织内的护理缺陷的量化.
- 展示领导模式的潜力,以赋予提供者权力和促进合作.
- 建立围绕患者需求组织的积极主动的,关系式的CKD护理.
结论:
- 三个支柱的领导模式和卓越体系框架为克服CKD护理中的系统性差距提供了一种可行的方法.
- 改变CKD护理需要集体,协作努力,专注于患者需求和综合服务提供.
- 进一步的试点测试和实施对于广泛采用和改善CKD管理患者结果至关重要.
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