优化血液造血干细胞移植的家庭住院计划,以电子健康整合和临床药剂师参与为基础
Maria-Estela Moreno-Martinez1,2, Mireia Riba1, Irene García-Cadenas3
1Pharmacy Department, Hospital de la Santa Creu I Sant Pau, IIB Sant Pau, Barcelona, Spain.
Frontiers in immunology
|June 26, 2024
概括
家庭住院为血液病患者提供了一个安全的替代方案,包括那些接受干细胞或CAR T细胞治疗的人. 整合电子卫生工具和多学科团队可以改善护理和生活质量,而不会增加成本.
科学领域:
- 血液学 血液学 血液学
- 电子健康 电子健康
- 患者护理管理 患者护理管理
背景情况:
- 家庭住院是血液病患者传统住院护理的安全替代方案.
- 它可以容纳从静脉注射抗生素到后干细胞移植和CAR T细胞治疗护理的疗法.
- 提前出院可以减少医院资源使用和等待时间.
研究的目的:
- 评估对血液病患者的家庭住院计划的可行性和好处.
- 探索电子卫生技术和多学科团队在提高家庭护理方面的作用.
- 评估对患者结果,生活质量和医疗保健成本的影响.
主要方法:
- 采用多学科团队方法,涉及血液学家,护士和药剂师.
- 综合电子健康技术 (例如,MY-Medula) 改善通信和监控.
- 在家庭环境中管理复杂的血液疗法,包括干细胞移植和CAR T细胞疗法.
主要成果:
- 在家住院的临床安全性与传统住院的临床安全性相当.
- 电子健康工具增强了沟通和监测,可能改善患者的治疗结果.
- 临床药剂师在药物管理,适当性和遵守方面发挥了关键作用.
结论:
- 干细胞移植和CAR T细胞治疗的家庭住院计划是可行的和安全的.
- 将电子卫生工具与多学科护理相结合,可以优化患者管理和生活质量.
- 这种综合模型可以改善患者的护理,而不会增加医疗保健支出.
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