跨学科护理团队对基于价值的脏护理的影响:从案例研究报告中的见解
Molly L Cahill1,2,3, Amber B Paulus4,5,6,7
1Nurse Practitioner, Kansas City Kidney Consultants, Kansas City, MO.
概括
基于价值的护理 (VBC) 通过转向以患者为中心的模型来改善病结果. 跨学科的团队提高护理,解决患者的需求和降低成本,以改善健康.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
背景情况:
- 医疗保健中的传统服务费模式正在被基于价值的护理 (VBC) 取代.
- 慢性病 (CKD) 和末期病 (ESKD) 存在重大成本挑战.
- 新的护理模式对于有效和负担得起的治疗病至关重要.
研究的目的:
- 突出基于价值的护理框架内跨学科合作的关键作用.
- 检查VBC计划对患者的治疗结果和医疗保健成本的影响.
- 为了证明VBC如何解决病患者的临床和非临床需求.
主要方法:
- 对脏病学中关键的VBC程序的审查,包括综合性末期脏病护理模型和脏护理选择.
- 分析VBC的组成部分,强调多学科团队参与.
- 案例研究检查药物管理,患者教育和健康的社会决定因素中的协调护理努力.
主要成果:
- 基于价值的护理模式有利于改善患者的健康结果,相对于护理成本.
- 跨学科团队 (护士,NP,药剂师,社会工作者,营养学家,医生) 对于VBC的成功至关重要.
- 协调护理有效地解决了药物管理,患者教育和健康的社会决定因素,改善了CKD患者的治疗结果.
结论:
- 基于价值的护理具有显著的潜力,可以提高患者在脏护理方面的结果.
- 早期干预和跨学科的团队合作对于实现VBC目标至关重要.
- 在VBC框架内提供有针对性的支持可以减少医疗保健不平等,并降低CKD患者的整体成本.
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