一个PA带领的远程医疗预期护理规划干预在一个限制生命的疾病
Christa S Cooper1, Jessica A Karl
1Christa S. Cooper and Jessica A. Karl practice neurology at Northwestern Medicine in Chicago, Ill. The authors have disclosed no potential conflicts of interest, financial or otherwise.
概括
医生助理/助理 (PA) 领导的通过远程医疗的预先护理计划 (ACP) 是可行的和可以接受的. 这种干预措施成功地提高了患者参与ACP讨论的参与度.
科学领域:
- 医学研究 医学研究
- 医疗保健提供创新 医疗保健提供创新
背景情况:
- 预先护理计划 (ACP) 对于患有神经疾病进展的患者至关重要.
- 将医生助理 (PA) 纳入ACP讨论可以改善患者的沟通和参与.
研究的目的:
- 评估由PA主导,远程医疗促进的ACP干预 (远程ACP) 的可行性和可接受性.
- 评估这一远程ACP干预措施对与亨廷顿病 (HD) 患者的ACP参与的影响.
主要方法:
- 采用了随机对照试验,并采用了可选的开放标签交叉设计.
- 该研究涉及在亨廷顿病诊所设置中进行的PA主导的远程ACP干预.
主要成果:
- 所有参与者都报告了有效的自我表达和舒适地与PA (95.8%) 沟通关于ACP的ACP.
- 在巴勒斯坦权力机构领导的Tele-ACP干预中,非洲国家和地区的参与度显著增加.
结论:
- 由巴勒斯坦权力机构领导的远程ACP干预是提供ACP的可行和可接受的模式.
- 这种方法有效地提高了患者参与在专业诊所内的预先护理规划.
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