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改善初级保健中的年龄友好型预先护理规划:来自太平洋西北地区学习协作的成果
Ashley A Johnson1, Katherine A Bennett2, Aimee M Verrall2
1Department of Family Medicine, University of Washington, Seattle, Washington, USA.
Journal of the American Geriatrics Society
|June 1, 2024
概括
一个学习协作改善了初级保健提供者在预先护理规划 (ACP) 和"什么重要"讨论方面的知识和技能. 这一倡议还增加了电子健康记录中ACP的文档.
科学领域:
- 老年病的医生 老年病的医生
- 主要护理是指初级护理.
- 卫生系统研究 卫生系统研究
背景情况:
- 提前护理规划 (ACP) 确保患者的偏好指导医疗保健目标.
- 对于以患者为中心的对话,在ACP和老年友好卫生系统 (AFHS) 倡议的"重要的事情"之间存在协同作用.
- 在初级保健 (PC) 中实施和衡量ACP提出了质量和一致性的挑战.
研究的目的:
- 评估是否参与ACP学习协作 (LC) 提高了提供者进行ACP讨论的知识和技能.
- 评估LC对参与初级保健实践中记录的ACP频率的影响.
主要方法:
- 一个为期9个月的虚拟学习协作 (LC) 为6个PC实践中的17名参与者组织.
- 该LC包括同步会议,专家小组和技术支持.
- 前后调查测量了知识变化,而EHR数据跟踪了干预后的ACP文件.
主要成果:
- 观察到越来越多的ACP知识和技能趋势,特别是在患者/家庭讨论中 (p < 0.05).
- 在六个实践中,四个实践表明,在合作后,ACP的电子健康记录文件增加了.
- 这项干预措施对在实践层面上对非洲国家和地区的文档产生了积极影响.
结论:
- 学习协作有效地提高了初级保健提供者在ACP和"What Matters"中的知识和技能.
- 该倡议导致了电子健康记录中报告的ACP文件的增加.
- 在事先的护理计划实施中,LC有助于实质性的实践变化.
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