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距离Frome还有很长的路要走:改善患者,当地服务和社区之间的联系,以减少紧急住院
Kathleen Withers1,2,3, Karen Pardy4, Lynne Topham4
1CEDAR Centre for Healthcare Evaluation, Device Assessment and Research, Cardiff & Vale Ubniversity Health Board, Cardiff Medicentre, Heath Park, Cardiff, CF14 4UJ, Wales, UK. Kathleen.withers@wales.nhs.uk.
BMC primary care
|August 17, 2024
概括
综合卫生和社会护理减少了老年人住院的数量. 这种新模式改善了患者的福祉和工作人员的满意度,证明了更好的社区联系.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 社会关怀 整合 社会关怀 整合
背景情况:
- 低社会经济地位会对患者的治疗结果产生负面影响.
- 卫生和社会护理之间的不良整合加剧了健康差异.
- 需要创新的护理模式来应对这些挑战.
研究的目的:
- 加强患者,当地服务和社区之间的联系.
- 为了减少不按计划入院的患者.
- 改善整体患者福祉和护理协调.
主要方法:
- 在一个初级保健集群中实施,服务于贫困地区的74,000多人.
- 形成一个涉及医疗保健,地方议会和第三部门的多学科团队 (MDT).
- 利用了出院联络中心,药剂师集群用于药物审查,健康连接器和提前护理规划.
主要成果:
- 在75岁以上的年龄组减少了非预定的入院,避免了每月800多次转诊.
- MDT审查了超过2500名患者,在GP接触后的讨论中减少了20%.
- 80%的受 Wellbeing Connectors 支持的患者报告健康状况有所改善;工作人员报告工作满意度增加.
结论:
- 加强卫生,社会护理和第三部门服务的整合减少了住院患者的数量.
- 综合模型显著改善了患者的福祉.
- 这一举措提高了员工的士气和工作满意度.
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