医疗保健转型为IDD的四重目标结果:范围审查
Ellen Fremion1, Kathleen Irby2, Sophia Jan3
1Transition Medicine Clinic, Department of Medicine, Baylor College of Medicine, One Baylor Plaza MS 902, Houston, TX 77030, USA.
Health care transitions
|December 23, 2024
概括
本次审查强调了对智力和发育障碍 (IDD) 的年轻成年人进行标准化医疗保健过渡 (HCT) 结果措施的需要. 目前的措施不一致,阻碍了对这一群体的有效HCT.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿科 儿科 儿科
- 发育障碍 发育障碍是一种发展障碍.
背景情况:
- 结构化医疗转型 (HCT) 模型越来越多地用于患有慢性疾病的青少年和年轻人.
- 对于HCT干预措施的结果测量存在缺乏共识,特别是对于智力和发育障碍 (IDD) 患者.
研究的目的:
- 确定IDD的年轻成年人 (18-26岁) 潜在的HCT结果措施.
- 利用四重目标框架来分类已识别的结果措施.
主要方法:
- 对多个数据库 (Medline,Embase,Web of Science,PsycINFO,Cochrane) 进行了全面的范围审查.
- 搜索包括与年轻成年人,IDD和过渡到成人护理相关的术语,仅限于2000年至今的英语出版物.
- 包括专注于IDD年轻成年人的研究和四重目标领域内的结果.
主要成果:
- 数据提取包括103篇文章.
- 文章被分为四个目标领域:人口健康 (43),患者/护理人员医疗保健经验 (23),成本/利用 (24),医疗保健提供者/护理人员经验 (15).
- 大多数研究都是观察性的,采用各种评估或内部开发的措施.
结论:
- 对IDD人群的HCT结果的研究有限,测量方法不一致.
- 确定了四重目标的结果可以指导HCT措施达成共识和标准化的努力.
- 标准化措施至关重要,以有效地满足IDD个体,他们的家庭和照顾者/提供者的需求.
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