印度:大家一起,每个人都能取得更多的成就
Rahul Bhargava1, Nathany Shrinidhi1, Vikas Dua1
1Fortis CSR Foundation (Clinical Research Division), Hematology and BMT, Fortis Memorial Research Institute, Gurugram, Haryana 122002, India.
概括
在骨髓移植 (BMT) 中实施跨学科护理显著改善了患者的治疗结果,并降低了死亡率. 在印度,这种综合方法提高了效率和患者的好处.
科学领域:
- 血液学 血液学 血液学
- 移植医学 移植医学 移植医学
- 专业间医疗保健 专业间医疗保健
背景情况:
- 基于专业团队的跨专业护理提高了以患者为中心的结果,但在骨髓移植 (BMT) 设置中未得到充分利用,特别是在印度.
- 这项研究详细介绍了一个单一中心的经验,证明了 BMT 单位跨学科护理的有效性.
研究的目的:
- 评估综合,跨学科的团队方法对骨髓移植单位患者结果和运营效率的影响.
- 在印度建立一个全面的血液学和移植计划,提供整体的患者护理.
主要方法:
- 开发和实施HemeTEAM India,这是一个综合性方法,涉及来自各种医疗和相关专业的专家.
- 建立先进的实验室,以支持跨学科的护理.
- 对HemeTEAM India倡议实施之前 (2021年之前) 和之后 (2021年至2024年后) 的结果进行比较分析.
主要成果:
- 100日死亡率 (∼70%) 和医院获得感染的显著减少.
- 基因组测试 (95%) 和基因信息治疗 (65%) 的使用率增加.
- 平均住院时间 (21至19天) 和ICU停留时间 (7至3天) 减少,净利改善 (12%至16%) 和患者成本节省 (∼$10,000).
结论:
- 在BMT部门的综合性,以团队为基础的方法提供了整体的跨学科护理,在印度环境中证明有效.
- 这一举措代表了东南亚最大的和首个同类血液学团队,在一次咨询中提供全面的护理.
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