综合护理团队:以初级保健为基础的方法,以支持具有复杂健康需求的老年人
George A Heckman1,2,3, Sarah Gimbel4, Chantelle Mensink4
1University of Waterloo, Waterloo, Ontario, Canada.
Healthcare management forum
|October 22, 2024
概括
综合护理团队 (ICT) 的干预改善了药物管理,并大大减少了复杂需求的老年人急诊室的访问. 这种主动的方法提高了初级保健机构中老年人的护理和满意度.
科学领域:
- 老年病的医生 老年病的医生
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老年人往往有复杂的需求,导致高急性护理使用和制度化.
- 综合老年评估 (CGA) 是有效的,但对社区的访问是有限的.
- 综合护理团队 (ICT) 是一种新的干预措施,旨在改善初级保健中获得CGA的机会.
研究的目的:
- 评估综合护理团队 (ICT) 干预的有效性和患者体验.
- 评估ICT对急性护理利用和老年人处方模式的影响.
- 为了确定患者和提供者对ICT模型的满意度.
主要方法:
- 对ICT干预进行了混合方法评估.
- 信息通信技术涉及护士执业人员领导的与药剂师,医生和老年医生共享护理.
- 患者接受了综合老年学评估 (CGA),并制定了以人为中心的护理计划.
主要成果:
- 研究人口包括老年人 (81±9.2岁),痴呆和多发病率高,平均每天处方12.8次.
- 信息通信技术的干预导致急诊室访问量大幅减少49.5% (P = 0.0001),并改善了处方.
- 患者,护理合作伙伴和转诊医生报告了高度满意度.
结论:
- 综合护理团队 (ICT) 是在初级保健中提供综合老年评估 (CGA) 的有效模式.
- 信息通信技术的干预成功地减少了急性护理的使用率,并改善了患者的结果和满意度.
- 扩展ICT模式以支持更多的初级保健提供者正在进行中.
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