相关实验视频
Updated: Aug 1, 2026

07:37
Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
设想在新西兰奥特亚罗亚州为患有复杂多病症的患者提供更好的护理
1Otago Polytechnic School of Nursing, Forth Street, Dunedin, 9054, New Zealand.
Journal of primary health care
|March 28, 2025
概括
新西兰的客户主导综合护理 (CLIC) 改善了参与患者的自我管理,但面临着公平,具有文化能力的挑战,为所有多病症患者提供服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 综合护理模式 综合护理模式
背景情况:
- 多种疾病在初级保健中带来了复杂的挑战.
- 现有的医疗保健系统往往难以为患有多种长期疾病的个人提供公平,以患者为中心的护理.
- 新西兰南部地区实施了以客户为主导的综合护理 (CLIC),以解决这些差距.
研究的目的:
- 评估CLIC在一般实践中的实施情况.
- 为了确定CLIC是否支持患者的自我管理能力.
- 评估CLIC与当前多重疾病管理优先事项的协调程度.
主要方法:
- 在四个一般实践中进行了混合方法的过程评估.
- 包括3年的参与者观察和采访.
- 然后对年度自我报告调查进行分析.
主要成果:
- 对于参与的患者来说,CLIC是有效的,但缺乏为普遍的文化能力护理提供资源.
- 实施面临着结构性困难和患者向问题.
- 尽管越来越复杂,一般医疗机构的组织和卫生系统的连接仍然保持不变.
结论:
- CLIC并没有完全满足所有参与者的需求,也没有针对那些最有可能受益的人.
- 过渡到复杂多病症的有效的通用实践模型需要系统变化.
- 基本变化包括资金改革,强有力的领导力,明确的沟通,以及具有文化能力,综合健康和社会护理系统.
相关概念视频
Introduction To Health Care Delivery System
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Tertiary Healthcare System
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care to...
Patient-centered Care
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
Coronary Artery Disease V: Interprofessional Care
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...

