护理协调:它是如何实施的,如果社会工作者在团队中,它是否不同?
Leif I Solberg1, Meghan M JaKa2, Gregory S Knowlton2
1From the HealthPartners Institute, Minneapolis, MN (LIS, MMJ, GSK, JYZ, ARB, SPD); University of St. Thomas, Minneapolis, MN (RRW); Minnesota Department of Health, St. Paul, MN (JMK). Leif.I.Solberg@HealthPartners.com).
Journal of the American Board of Family Medicine : JABFM
|January 30, 2025
概括
初级保健诊所将社会工作者整合到护理团队中,改善了复杂患者的协调. 这些诊所更好地评估和解决社会需求,与护士主导的模式相比,提供更广泛的服务范围.
科学领域:
- 医疗保健管理的管理
- 医疗保健中的社会工作
- 初级护理服务初级护理服务
背景情况:
- 有效的护理协调对于管理初级保健中复杂患者至关重要.
- 了解不同的护理模式,例如集成社会工作者与传统护理模式的护理模式,对于优化患者结果至关重要.
研究的目的:
- 调查初级保健诊所如何协调为复杂患者提供服务.
- 确定是否有综合社会工作者模式的诊所在与没有综合社会工作者模式的诊所相比,在护理协调方面有所不同.
主要方法:
- 对317个初级保健诊所的护理协调员进行了横截面调查.
- 该调查收集了有关人员配置,沟通策略,护理模式 (综合社会工作者与护理),资源和服务提供方面的数据.
- 综合社会工作者模式是由社会工作者在评估和协调社会需求中的角色作为核心护理团队的一部分来定义的.
主要成果:
- 综合社会工作者 (139/317) 的诊所有更大的患者小组和更多的临床医生互动的护理协调员.
- 这些协调员在现场的频率较低,但使用电话通信的频率更高.
- 综合社会工作者诊所显示,评估社会需求,提供多样化的服务和促进社区推的可能性提高了10-30%.
结论:
- 雇佣综合社会工作者的初级保健诊所表现出不同的护理协调和社会需求评估方法.
- 这些综合模型似乎提高了解决患者健康社会决定因素的范围和参与度.
- 虽然医疗/护理服务提供率相似,但社会工作整合影响了协调过程和社会护理提供.
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