在安全网医院实施门诊脏支持护理
Jennifer S Scherer1, Radhika J Gore2, Annette Georgia1
1Department of Medicine (J.S.S., A.G., S.E.C., N.C., O.Z., J.C., D.C., A.A.B.), NYU Grossman School of Medicine, New York, New York, USA.
Journal of pain and symptom management
|January 9, 2025
概括
结合慢性病 (CKD) 管理的支持性护理 (KSC) 在医院安全网中是可行的. 这种模式有效地服务于服务不足的人群,显示症状负担减少,并为类似诊所提供框架.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 抚慰性护理是一种缓解性护理.
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 慢性病 (CKD) 不成比例地影响低社会经济群体,呈现复杂的护理需求和症状.
- 将支持性护理 (KSC) 与CKD管理相结合,可以应对这些挑战.
- 在服务不足的人群中实施KSC仍然被描述得不够好.
研究的目的:
- 描述KSC和CKD综合诊所在医院安全网环境中的适应和实施.
- 报告诊所的利用指标,患者人口统计和访问活动.
- 为在资源有限的环境中提供KSC交付的可行模型.
主要方法:
- 通过利益相关者会议 (管理人员,资助者,专家) 和文献审查,对KSC/CKD模型的修改得到了开发.
- 在15个月内,从电子健康记录中提取了关于临床利用,患者人口统计,临床特征,社会需求和症状负担的数据.
- 描述性统计数据被用于报告发现,包括综合息结果尺度-脏 (IPOS-R).
主要成果:
- 临床和行政领导人对人员配置,数据收集和工作流程进行了积极的调整.
- 该诊所为大多数黑人或西班牙裔,无保险或医疗补助计划人口提供服务,约有68%的显示率.
- 患者呈现出晚期疾病和显著的社会需求;然而,整体症状负担低于之前报告的,特别是在心理影响方面.
结论:
- 在安全网设置中,整合KSC和CKD管理的门诊护理模型是可行的.
- 这个模型可以作为开发其他非癌症息护理门诊的框架.
- 未来的努力将专注于优化已建立的模型,以实现更广泛的应用.
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