在资源有限的环境中开发以用户为中心的慢性护理模型,用于心力衰竭患者:一个代码设计研究
Apinya Koontalay1, Mari Botti1, Anastasia Hutchinson1,2
1School of Nursing and Midwifery, Deakin University, Victoria, Australia.
概括
一个共同设计的,由护士领导的病例管理模型可以改善泰国的慢性心力衰竭 (CHF) 护理. 这种综合方法增强了社区的支持,并减少了CHF患者的医疗负担.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 慢性疾病管理 慢性疾病管理
背景情况:
- 泰国面临着管理日益增长的慢性心力衰竭 (CHF) 患者人口的挑战.
- 高回收率的CHF患者压力医疗保健服务.
- 需要改善社区为CHF提供支持性护理.
研究的目的:
- 为泰国的CHF患者开发一个共同设计的,文化上可以接受的慢性护理模式.
- 解决急性护理和社区支持CHF的挑战.
- 改善心血管衰竭患者的护理连续性.
主要方法:
- 利用了哈索-普拉特纳设计学院的设计思维模型.
- 与消费者,临床医生和领导者进行联合设计研讨会.
- 采用了来自贴纸,故事板和音频录音的数据的内容分析.
主要成果:
- 创建了九个原型故事板,以改善心脏病患者护理的连续性.
- 确定了重点关注信息获取,多学科专业知识和社区支持的关键解决方案.
- 选择了一个由护士领导的病例管理服务,由多学科团队支持,作为最佳模式.
结论:
- 利益相关者强调过渡到一个综合,多学科,长期社区护理模式.
- 一个CHF护士病例管理服务与社区外展被认为是可行的.
- 共同设计的模型解决了城市曼谷的关键问题,泰国的CHF慢性护理需求.
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