绘制路线:为社区为老年人提供综合护理的功能建模
Alexis McGill1, Vahid Salehi2, Rose McCloskey3,4
1Faculty of Nursing, University of New Brunswick, Fredericton, NB, Canada. a.mcgill@unb.ca.
Health research policy and systems
|August 12, 2024
概括
综合护理模式对于老龄化人口至关重要. 通过使用FRAM和DynaFRAM分析基于社区的老年医疗评估,确定了改善卫生和社会护理服务的系统挑战和机会.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 系统工程 系统工程
背景情况:
- 医疗保健系统面临着可持续性挑战,特别是随着人口老龄化,需要复杂,协调的护理.
- 目前的情节性护理模式对于脆弱的老年人来说是不够的,需要在社区内提供综合健康和社会服务.
- 基于社区的分散的护理服务,以专业隔离和不同的系统为特征,阻碍了全面的老年医疗评估.
研究的目的:
- 在加拿大城市环境中分析基于社区的综合老年医疗评估过程.
- 确定开发更综合的老年人护理服务模式所面临的挑战和机遇.
- 为医疗和社会护理服务的重新设计提供信息,以改善患者的治疗结果.
主要方法:
- 使用了功能共振分析方法 (FRAM) 和动态FRAM (DynaFRAM) 建模.
- 创建了一个假设的患者旅程场景,以表示基于社区的健康和社会护理系统运作.
- 数据收集涉及文档审查,重点小组和与医疗保健专业人员的半结构面试.
主要成果:
- 在当地背景下,确定了实施综合护理的关键挑战和机会.
- FRAM和DynaFRAM分析提供了对系统操作和专业工作流程的见解.
- 共同设计的,多层次的流程改进建议被制定,以加强老年医疗评估的整合.
结论:
- 基于社区的健康和社会护理的变革性重新设计对于解决老龄化人口的需求至关重要.
- 了解专业实践和患者护理动态对于成功的系统重新设计至关重要.
- FRAM和DynaFRAM模型为决策者提供了有价值的见解,旨在实施综合护理模型.
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