制定基于社区的息护理资格决定:息护理团队成员对信息获取和算法使用的观点
Kira G Sheldon1, Kathryn H Bowles2, Carolyn Sage3
1Rutgers University, New Brunswick, NJ, USA.
The American journal of hospice & palliative care
|November 19, 2024
概括
息护理团队使用患者的症状和病史来确定资格,发现死亡风险算法不足. 需要更好地整合,详细的数据,以便在息治疗中有效识别患者.
科学领域:
- 老年学是一门学科.
- 抚慰性护理医学 抚慰性护理医学
- 医疗信息学 医疗信息学
背景情况:
- 严重患病的老年人面临高死亡率,症状负担和功能衰退.
- 基于社区的息治疗 (息治疗) 可以改善这些患者的治疗结果.
- 确定有资格获得息护理服务的个人仍然是一个重大挑战.
研究的目的:
- 调查息护理团队如何确定患者的服务资格.
- 评估死亡风险算法的有用性,以识别潜在的合格患者.
主要方法:
- 半结构化的焦点小组与息护理提供者进行 (n=7).
- 对成绩单的定性分析确定了健康信息如何用于资格决定.
- 研究的重点是一个非营利性医疗机构内的息护理计划.
主要成果:
- 息护理团队利用症状数据,诊断和急性护理利用资格.
- 由于当前健康状况信息有限,死亡风险算法被发现是没有用处的.
- 该算法没有很好地集成到现有的健康记录系统中.
- 提供者希望在一个集中位置获得最新的,详细的健康信息.
结论:
- 息护理团队依靠各种未满足需求指标来确定资格.
- 死亡风险算法需要更多的细节和整合才能有效地对最终的资格决定作出决定.
- 结果为改善健康数据呈现和工作流程集成提供了洞察力,以支持息护理决策.
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