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Patient-centered Care01:13

Patient-centered Care

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
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A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
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Methods of Documentation VI: Case Management Model01:15

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Updated: Jun 10, 2025

Improving IV Insulin Administration in a Community Hospital
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在医疗保险基于价值的计划中,通过药剂师综合护理减少再入院.

Dor Partosh1, Lazara Cabrera Ricabal2, Diana C Beltran2

  • 1Department of Pharmacy, Memorial Healthcare System, Miramar, FL, USA.

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
|October 13, 2024
PubMed
概括
此摘要是机器生成的。

药房转换护理 (ToC) 和人口健康服务显著减少了医疗保险患者的90天再入院. 这些发现支持扩大药剂师主导的干预措施,以改善患者的长期结果.

关键词:
美国医疗保险 (Medicare) 的医疗保险.在 ToC 中,ToC 是 ToC.人口健康 人口健康再接纳是指重新接纳的情况.关怀的过渡 关怀的过渡基于价值的程序程序基于价值的程序

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科学领域:

  • 医疗保健服务研究 医疗服务研究
  • 临床药房 临床药房
  • 人口健康管理 人口健康管理

背景情况:

  • 众所周知,药房的护理过渡 (ToC) 计划可以减少30天的再入院.
  • 有限的数据存在于药剂师集成的ToC服务超过30天的长期影响.
  • 医疗保险以价值为基础的计划 (MV-BPs) 鼓励减少再接收.

研究的目的:

  • 评估药剂师集成的ToC和人口健康服务对医疗保险基于价值计划 (MV-BP) 人群中30日,60日和90天所有原因的再入院的影响.
  • 为了比较第一次再入院的平均时间,有和没有药剂师护理.

主要方法:

  • 对医院出院遭遇 (DE) 的回顾性观察图表审查.
  • 在MV-BP中,患者 (≥18岁) 被分配到对照组或基于所收到的药房 ToC 服务的三个干预组之一.
  • 服务由住院的ToC药剂师或专业的人口健康药剂师 (PHP) 提供.

主要成果:

  • 在90天随访的1,039名患者中,对照组的再入院率为34.74%.
  • 与对照组相比,干预组2和3的90天再接收率明显较低 (分别为9.57%和17.07%).
  • 干预组1没有显示90天再接收的显著减少 (29.85%).

结论:

  • ToC和PHP服务的结合有效地降低了MV-BP人口中的30日,60日和90日再接收率.
  • 这些发现凸显了综合药房服务在尽量减少长期再入院的好处.
  • 建议为这种医疗保险人群扩大以药房为基础的 ToC 服务.