组织养老院的一般实践:一项多方法研究
Barbara Hanratty1, Rachel Stocker1, David Sinclair1
1Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Health and social care delivery research
|April 15, 2025
概括
信任的关系和充足的资源是养老院有效的初级保健的关键. 较大的实践或有更多养老院居民的实践显示出更好的护理质量,但国家举措的灵活性至关重要.
科学领域:
- 医疗保健 医疗保健 提供 研究 研究
- 初级保健管理管理初级保健管理
- 老年医疗保健服务 老年医疗保健服务
背景情况:
- 一般诊所是国家卫生服务 (NHS) 关怀大约40万养老院居民的主要联系点.
- 有效的初级保健提高了居民的福祉,并优化了医院服务的利用率.
研究的目的:
- 调查一般医疗机构与居民/工作人员的经验,结果和成本之间的联系.
- 探索初级保健服务提供模式对养老院居民的影响.
主要方法:
- 一种混合方法方法,结合了全国一般实践调查 (2018年),定性访谈 (2019年) 和初级保健数据分析 (2019-21年) 的方法.
- 从150家全科医院,101名医疗保健专业人员和护理院工作人员以及超过10万名75岁以上的护理院居民收集的数据.
主要成果:
- 定性分析揭示了关系连续性,沟通和组织因素在全科医生 (GP) 服务到养老院的重要性.
- 较大的诊所或有更多养老院居民的诊所报告了更高质量的护理,更多的初级保健联系人,以及更少的紧急转诊.
- 实施远程医疗等新举措需要仔细考虑养老院工作人员的负担和接受.
结论:
- 信任的关系和有动力,资源充足的初级保健工作人员对于提高护理家庭初级保健至关重要.
- 虽然诊所规模和住院人数与更好的护理相关,但在实施国家倡议方面,地方灵活性对于成功至关重要.
- 需要进一步的研究来促进信任关系,并评估诸如养老院增强健康等举措对整个系统的影响.
相关概念视频
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:21Interdisciplinary Care: The Health Care Team-I
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
01:29Planning Nursing Care II
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
01:26Methods of Documentation II: POMR
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
01:15Methods 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...
01:29Documentation 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