在初级保健中提供综合服务的模式,以改善老年马来西亚人的脆弱性:GeKo 综合服务提供模式
S S Ahip1, C Y Ting, M A B Abdillah
1Sally Suriani Ahip, Kota Samarahan Health Clinic, Jalan Datuk Mohammad Musa, 94300 Kota Samarahan, Sarawak, Malaysia, Email address: sally.ahip@gmail.com, Telephone: +60125880709, Fax number: +6082673632.
The Journal of frailty & aging
|July 31, 2024
概括
马来西亚的GeKo-Integrated Service Delivery (ISD) 模型成功地改善了初级保健中的脆弱性得分. 这种针对老年人的综合护理方法显示出对脆弱性管理的重大前景.
科学领域:
- 老年学是一门学科.
- 初级医疗保健医学 一级医疗保健医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 马来西亚的GeKo综合服务提供 (ISD) 模式针对初级保健中的脆弱性管理.
- 该研究评估了这种新型模型的实施阶段和有效性.
研究的目的:
- 评估GeKo-ISD模型在马来西亚初级保健中的实施水平.
- 确定该模型在改善老年人脆弱性得分方面的有效性.
主要方法:
- 使用WHO-ICOPE (老年人综合护理) 成绩表进行实施评估.
- 进行了文件评估和关键线人采访.
- 从基线到干预后3个月,使用Pictorial Fit Frail Scale马来语版本 (PFFS-M) 测量了脆弱性得分的变化.
主要成果:
- 所有三个GeKo-ISD诊所都实现了"持续"的实施水平 (50/52).
- 观察到PFFS-M得分的统计学显著下降 (p=0.001).
- 平均脆弱性得分从基线时的8.6 (SD 4.6) 下降到3个月后的7.0 (SD 4.1).
结论:
- GeKo-ISD模型为老年人提供了一个全面的,综合的护理方法.
- 该模型利用现有的初级保健基础设施,尽管面临流行病挑战,但仍有希望.
- 目前在马来西亚的一个州扩展到32个中心,政府支持.
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