比利时养老院的老年医疗评估:定性见解
Julie Merche1,2, Thérèse Van Durme3, François-Xavier Sibille4,5
1Department of Geriatric Medicine, CHU UCL Namur, Yvoir, Belgium. julie.merche@chuuclnamur.uclouvain.be.
BMC health services research
|March 20, 2025
概括
为了改善养老院居民 (NHR) 的护理,本研究探讨了养老院和医院之间的合作伙伴关系. 调查结果强调赋予养老院老年专业知识和正式合作,以获得更好的综合护理.
科学领域:
- 老年医学 老年医学
- 医疗保健管理的管理
- 组织间合作 组织间合作
背景情况:
- 养老院居民 (NHR) 由于多病症和脆弱性而存在复杂的健康需求.
- 养老院 (NH) 和医院之间的组织间合作至关重要,但具有挑战性.
- 随着COVID-19的流行,需要加强NH护理团队的专业知识.
研究的目的:
- 根据住户的老年医疗需求,确定医院和国家医院之间的伙伴关系领域.
- 探索促进利益相关者之间合作的基本要求.
- 在比利时使用参与和系统方法开发老年人移动团队 (GMT).
主要方法:
- 质量研究涉及20名医疗保健专业人员的半结构面试.
- 使用主题分析从采访数据中提取主题.
- 使用了诱导和演方法的组合,包括卡拉姆的框架.
主要成果:
- 利益相关者确定了老年专业知识在管理复杂的NHR需求 (痴呆症症状,医疗评估,预先护理规划) 中的关键作用.
- 主要主题包括赋予国民医院老年专业知识,整合和正式化的重要性,以及与潜在的过度医疗化平衡护理需求.
- 突出了正式化流程和促进护理整合的挑战.
结论:
- 正式的框架和与前线护理人员共同设计的协议对于加强NH-老年医疗服务合作至关重要.
- 整合利益相关者的观点可以确保拟议的举措满足实际需求.
- 加强合作可以拆除NHRs的分隔护理途径.
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