从嵌入式的跨专业诊所到扩大酒精相关肝病计划
Gerald Scott Winder1,2,3,4, Juan Pablo Arab5, Arpita Goswami Banerjee6
1Department of Psychiatry and Behavioral Medicine, Henry Ford Health, Detroit, MI, USA.
概括
危险的酒精使用导致严重的肝病,使得与酒精相关的肝病 (ALD) 成为肝移植的首要原因. 扩展ALD护理提供了创新的纵向策略,以有效管理大量患者群体.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 成 药物 药物 药物 药物
- 医疗保健系统创新 医疗保健系统创新
背景情况:
- 危险的酒精使用是急性和慢性肝病的主要驱动因素.
- 酒精相关性肝病 (ALD) 是肝移植的主要适应症.
- 目前的嵌入式,跨专业的ALD诊所改善了接入,但需要可扩展的解决方案.
研究的目的:
- 将"扩展ALD护理"描述为一个可扩展,创新的护理提供模式.
- 为ALD提供纵向,跨专业的护理提出实际策略.
- 确定医疗保健系统的属性,以支持扩大ALD护理.
主要方法:
- 文献审查和现有协作护理模式的综合.
- "扩大ALD护理"框架的开发.
- 从初级保健和饮食障碍治疗中类似的患者群体中绘制并行.
主要成果:
- 拟议的"扩展ALD护理"包括广泛的,纵向的,跨专业的策略.
- 关键的创新包括平衡生物医学和心理社会护理,增加临床医生的覆盖范围,培养长期关系,整合减少伤害和息护理,并加强外部推广和支持.
- 定义了创新医疗保健系统的特征,以促进这种扩展模型.
结论:
- 扩展ALD护理提供了一种可扩展的方法,以满足酒精相关肝病患者日益增长的需求.
- 这种模式强调全面,长期和综合的护理服务.
- 进一步开发和实施创新的医疗保健系统对于成功扩展ALD护理至关重要.
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