通过护士执业医生-牙医综合实践模式,为具有复杂医疗和社会需求的个人提供护理
Elizabeth Alpert1,2, Tara Zhou2, Claudia C Guillen2,3
1Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, USA.
概括
护士执业医生-牙医综合实践模型 (NPD模型) 改善了慢性疾病管理和医疗复杂患者的护理机会. 这种跨学科的方法在学术牙科环境中是临床有效和经济可行的.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 专业间医疗保健 专业间医疗保健
- 牙科公共卫生 牙科公共卫生
背景情况:
- 具有复杂医疗和社会需求的个人在获得医疗保健方面遇到重大障碍,往往导致健康状况不佳.
- 整合医疗和牙科护理对于全面,以人为中心的健康管理至关重要.
- 护士从业者-牙医综合实践模型 (NPD模型) 提供了一种新的方法来解决牙科环境中的这些挑战.
研究的目的:
- 评估在牙科学校环境中试点护士执业医生-牙医综合实践模型 (NPD模型) 计划的临床和财务影响.
- 评估该模型在治疗慢性疾病和改善复杂需求患者获得护理方面的有效性.
- 确定NPD模型在学术牙科环境中的经济可行性.
主要方法:
- 为了说明NPD模型对糖尿病和牙周病患者的影响,进行了一项案例研究.
- 对2023年9月至2024年4月的患者初级保健访问数据的回顾性分析.
- 评估患者人口统计,初级保健使用模式,临床结果和财务可持续性.
主要成果:
- 该NPD模型显示出积极的影响,特别是对于患有糖尿病和牙周病同时发生的患者.
- 分析显示,NPD模型通过跨学科团队促进了全面的,以人为中心的护理.
- 该模型在学术牙科环境中被证明是经济可行的.
结论:
- 通过整合医疗和牙科服务,NPD模型有效地增强了对医疗复杂个体的以患者为中心的护理.
- 这种综合实践模型显示出在各种医疗保健环境中更广泛应用的巨大潜力,包括医院诊所和急诊室.
- 国家医疗政策模型是改善弱势群体健康状况和获得医疗保健的有希望的策略.
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