改善成人长期COVID服务的质量:LOCOMOTION质量改善协作项目的研究结果
Julie Darbyshire1, Trisha Greenhalgh1, Nawar D Bakerly2
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Clinical medicine (London, England)
|August 24, 2024
概括
该LOCOMOTION项目通过为英国各地的诊所创建最佳实践指南,改善了长期的Covid护理. 这一倡议解决了长期COVID症状管理的挑战,并通过协作质量改进加强了患者护理.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 临床实践 临床实践
背景情况:
- 长期的Covid是一种长期的COVID-19形式,呈现出多样化,残疾和长期的多系统症状.
- 专门的长期COVID诊所于2021年在英国成立,以满足患者的需求.
- 这种情况的新性和复杂性对基于证据的管理提出了挑战.
研究的目的:
- 为长期的COVID诊所实施英国范围的质量改善协作.
- 制定和传播最佳实践指南,以应对长期的COVID.
- 加强临床实践与新兴证据的协调.
主要方法:
- 一个英国范围内的质量改善协作,涉及十个长期COVID诊所 (2021-2023).
- 定期在线会议以确定主题优先级,讨论证据和案例审查.
- 患者咨询小组参与优先设定和服务评估.
主要成果:
- 开发一系列"最佳实践"指南,用于长期Covid评估和管理.
- 这些指南涵盖了关键领域,包括呼吸困难,自主症状,疲劳,认知障碍和职业康复.
- 在改善实践方面取得了进展,尽管存在诸如缺乏明确证据和患者并发症等挑战.
结论:
- 该LOCOMOTION项目成功地为管理长期COVID的前线临床医生制作了有价值的最佳实践指南.
- 协作质量改进工作促进了这种复杂疾病的管理.
- 制作的指南为各种临床环境中的临床医生提供了实际支持.
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