为患有多种长期疾病的人提供服务创新:快速评估团队的反思
Jon Sussex1, Judith Smith2, Frances M Wu1
1RAND Europe, Eastbrook House, Cambridge, UK.
Health and social care delivery research
|June 28, 2024
概括
照顾患有多种长期疾病的个人需要在医疗保健系统中进行转变,在政策和实践中优先考虑他们的需求. 这项研究综合了评估,为多病症服务创新提供了信息.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
- 公共卫生政策 公共卫生政策
背景情况:
- 多重长期疾病 (多重疾病) 是国家卫生服务 (NHS) 政策的一个重要关注点,正如2019年NHS长期计划所强调的那样.
- 这项研究综合了由伯明翰兰德和剑桥快速评估中心从2018年到2023年进行的10项评估,以探索多种长期疾病患者的需求和优先事项.
研究的目的:
- 为患有多种长期疾病的个人在初级和社区环境中建立有关服务创新的知识.
- 开发方法论洞察力,使用快速评估,为设计,测试和实施多病症服务创新提供信息.
主要方法:
- 专题综合10个快速评估,重点关注多种长期条件.
- 将多病症纳入评估设计,对利益相关者的采访 (n=19),对远程监测的快速审查 (19篇论文),以及患者/公众参与研讨会 (10名参与者).
主要成果:
- 医疗保健系统主要围绕单一疾病而组织,而不是围绕多种长期疾病而组织.
- 研究和服务创新往往忽视了多病症,而是专注于单一的疾病.
- 确定的主题包括加强患者/护理人员的参与,自我管理,以患者为中心的结果措施和创新障碍.
结论:
- 当前的医疗保健结构和研究实践无法充分满足患有多种长期疾病的人的需求.
- 需要将多病症患者的优先事项纳入医疗保健规划和提供中.
- 需要进一步研究协调护理措施和员工经验.
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