在初级保健中对痴呆症进行数字认知评估的敏捷实施
Diana Summanwar1, Nicole R Fowler2,3, Dustin B Hammers4
1Department of Family Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Annals of family medicine
|April 29, 2025
概括
敏捷实施成功地将数字认知评估工具集成到初级保健中,改善了认知障碍的早期检测. 定制的工作流程和利益相关者参与是成功采用和可持续性的关键.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 数字健康实施方案
背景情况:
- 认知障碍影响到老年人,需要在初级保健中早期发现.
- 将新的数字健康工具整合到现有的初级保健工作流中存在挑战.
研究的目的:
- 评估敏捷实施和定制工作流程的有效性,以整合数字认知评估 (DCA) 工具在65岁以上患者的初级保健中.
- 评估DCA工具在初级保健机构的采用和可持续性.
主要方法:
- 敏捷实施原则,包括代冲刺和利益相关者参与,用于整合7家初级保健诊所的DCA工具.
- 创建了一个大脑健康导航者的角色,以支持患者和临床医生. 在RE-AIM框架中,对12个月的干预进行了评估.
主要成果:
- 这项干预涉及63.8%的临床医生,其中10.8%的符合条件的访问完成了DCA查.
- 四个诊所完全采用了干预措施,5个诊所在12个月后仍在使用DCA工具. 一位大脑健康导航员管理了447个推.
结论:
- 敏捷实施,定制工作流程和利益相关者参与是将DCA工具集成到初级保健中的有效策略.
- 这种方法促进了认知障碍的早期发现和管理,改善了患者的治疗结果,并减少了医疗保健专业人员的负担.
关键词:
阿尔茨海默氏症是阿尔茨海默氏症的一种疾病.临床实践模式 临床实践模式认知功能障碍 认知功能障碍痴呆症查 痴呆症查数字认知评估数字认知评估医疗信息学 医疗信息学实施科学 实施科学轻度的认知障碍 轻度的认知障碍神经心理测试 神经心理测试组织创新 组织创新基于实践的研究研究.初级医疗保健是一项主要的医疗保健服务.质量改善 质量改善工作流的工作流.更多相关视频
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