慢性护理质量的框架:范围审查和德尔菲调查的结果
Grace Marie V Ku1,2,3, Willem Van De Put1, Deogratias Katsuva1
1Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
Global health action
|November 18, 2024
概括
开发了一个新的综合性慢性病护理质量框架. 该框架详细介绍了为患有慢性疾病的人提供更好的医疗保健结果的目标,决定因素和属性.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 慢性疾病管理 慢性疾病管理
- 卫生系统研究 卫生系统研究
背景情况:
- 现有的护理质量框架各不相同,往往侧重于特定方面,而不是全面解决慢性疾病.
- 缺乏一种系统的方法来制定针对慢性疾病的量身定制的护理质量框架.
- 认识到利益相关者的不同观点 (患者,提供者,决策者) 对于护理质量至关重要.
研究的目的:
- 制定专门针对慢性疾病的综合性护理质量框架 (CCCQ框架).
- 确定优质慢性护理的目标,决定因素和可衡量的属性.
- 将各种利益相关者的观点纳入框架的设计.
主要方法:
- 进行了科学和灰色文献 (分别为48个和26个来源) 的范围审查.
- 利用基于医学研究所护理质量框架的演和归纳分析.
- 采用了德尔菲调查,与49名国际慢性护理专家合作,以完善框架.
主要成果:
- 制定了一个全面的CCCQ框架,详细说明了七个质量目标.
- 确定了慢性护理质量的关键卫生系统决定因素,组织原则和可衡量的属性 (结构,过程,结果).
- 在第一轮德尔菲调查后,在框架上达成专家共识.
结论:
- 开发的CCCQ框架为患有慢性疾病的人提供了一种全面的护理质量方法.
- 根据疾病特征和利益相关者的观点来定制护理质量对于改善医疗保健服务和结果至关重要.
- 该框架支持医疗系统和慢性疾病患者 (PwCC) 都可以接受的更好的结果.
相关概念视频
01:29Documentation in Long-Term and Home Healthcare Setting
873
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
873
01:15Methods of Documentation VI: Case Management Model
559
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.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
01:26Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
01:18Introduction To Health Care Delivery System
2.6K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.6K
01:30Health Information Technology and Healthcare Information System
802
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
802
01:21Planning Nursing Care I
4.3K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.3K