利用4M框架创建一个结构和流程,以支持在负担得起的住房中自愿进行健康评估
Elyse Perweiler1, Jennifer DeGennaro1, Sherry Pomerantz1
1Department of Geriatrics & Gerontology, Rowan-Virtua School of Osteopathic Medicine, New Jersey Institute for Successful Aging, Stratford, New Jersey, USA.
Journal of the American Geriatrics Society
|July 18, 2024
概括
经过4M方法培训的负担得起的住房工作人员确定了居民的健康问题,特别是关于"什么重要"和预先护理计划 (ACP) 的问题. 这项培训支持老年人获得负担得起的住房.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高龄人负担得起的住房人口正在增长,通常包括服务不足的老年人,支持有限.
- 这些环境中的员工处于独特的位置,能够识别和解决居民的健康和心理社会需求.
研究的目的:
- 培训负担得起的住房工作人员使用4M方法进行居民健康评估.
- 实施一个系统来跟踪干预和推的老年人负担得起的住房.
主要方法:
- 四个负担得起的住房站点的员工接受了关于4M方法和健康风险评估的培训.
- 4Ms居民健康风险评估 (4Ms-RHRA) 和电子数据库被用于收集和跟踪居民健康信息.
- 嵌入式标志识别了风险,启动了干预和转诊的后续行动.
主要成果:
- 在221个完成的4Ms-RHRA中,81%标记了至少一个问题 (平均2.2个标志).
- 最常见的问题涉及"什么重要":居民最重要的健康问题 (55%) 和预先护理计划 (ACP) (48%).
- 工作人员向感兴趣的居民提供了非洲和非洲国家和地区的信息和表格.
结论:
- 在4M框架中培训负担得起的住房工作人员是关键的第一步.
- 这种方法有助于对以居民为中心的需求进行干预的纵向跟踪.
- 它有助于建立一个跨专业的劳动力,解决老年人负担得起的住房的复杂需求.
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