智利创新的多病症患者中心护理模式:实施评估结果
Jaime C Sapag1,2,3, Mayra Alicia Martínez Pérez4, Paula Zamorano5,6
1School of Public Health & School of Medicine, Department of Family Medicine), Faculty of Medicine, Pontificia Universidad Católica de Chile, 11 Santiago, Chile.
概括
智利的多病症患者中心护理模式 (MPCM) 的试点项目显示出积极的实施结果. 从这项健康创新中吸取的关键经验教训对于其在全国范围内可扩展性和改善多种慢性病患者的护理至关重要.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
- 公共卫生创新 公共卫生创新
背景情况:
- 非传染性疾病和多重疾病对全球卫生系统构成重大挑战.
- 拉丁美洲需要实用的创新来应对这些日益增长的健康负担.
- 多重疾病患者中心护理模式 (MPCM) 试点在智利实施 (2017-2020年),从分散的护理转向以患者为中心,基于需求的干预.
研究的目的:
- 评估智利MPCM试点项目的实施过程.
- 确定试点阶段的关键经验教训,以实现未来的可扩展性.
- 评估该模型对围绕患者需求和多病症风险重组医疗服务的贡献.
主要方法:
- 采用了定性,协作的实施评估设计.
- 与69名专业人士和利益相关者进行了半结构化访谈.
- 实施研究的综合框架和实施研究的成果指导了理论方法.
主要成果:
- 在MPCM试点中,成功实施了复杂的健康创新.
- 积极的结果表明该模型有可能得到更广泛的采用.
- 关键促进者包括强有力的领导力和团队承诺;障碍包括员工流动和COVID-19大流行.
结论:
- 该研究为评估智利创新的多病症护理模式提供了有价值的见解.
- 扩大MPCM需要仔细考虑经验教训和强有力的监测计划.
- 这项研究强调了实施科学对于加强拉丁美洲公共卫生政策和质量改善的重要性.
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