慢性门诊护理中护理中断的原因:一种混合方法案例研究
Anu Vehkamäki1, Märt Vesinurm1, Riina-Riitta Helminen2
1Department of Industrial Engineering and Management, Institute of Healthcare Engineering and Management, Aalto University School of Science, Espoo, Finland.
Health services management research
|December 17, 2024
概括
慢性护理中断发生在计划的医疗护理没有提供时. 本研究确定了导致这一问题的系统和患者因素,为更好的慢性疾病管理提供了解决方案.
科学领域:
- 医疗保健管理的管理
- 患者护理协调与协调
- 慢性疾病管理 慢性疾病管理
背景情况:
- 卫生系统往往优先考虑急性护理,导致长期健康状况的分散管理.
- 慢性护理不连续性描述了为患有持续健康需求的患者计划医疗服务的失败.
- 这种不连续性会影响患者的治疗结果和医疗保健系统的效率.
研究的目的:
- 描述性地探索在门诊机构中慢性护理中断的根本原因.
- 制定一个框架来分类导致慢性病患者持续护理分解的因素.
主要方法:
- 通过采访和专注小组与医疗保健专业人员进行定性数据收集.
- 通过针对慢性腹部疾病患者的患者调查收集定量数据.
- 用于开发慢性护理不连续性 (DoCC) 框架的基础理论化.
主要成果:
- 确定了两个主要类别的断续期原因:与医疗保健系统相关的因素和与患者相关的因素.
- 医疗保健系统的因素包括护理人员,技术和护理过程的挑战.
- 与患者相关的因素包括情境和内部心理挑战.
结论:
- 慢性护理不连续性 (DoCC) 框架有助于分析患者的旅程并确定需要改进的领域.
- 为医疗保健管理人员提供可操作的见解,以加强慢性患者护理管理.
- 指导医疗保健专业人员将发展工作重点放在可应对的挑战上,以改善护理连续性.
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