使用代码设计开发健康素养干预措施,以提高心脏服务的可访问性和可接受性:平等的心脏研究
Denise Azar1,2, Sofia Wang1,2, Liz Flemming-Judge3
1School of Rural Health, Monash University, Warragul, Australia.
概括
这项研究开发了患者出院行动计划,这是一个与患者和临床医生共同设计的健康素养干预措施,以改善冠状动脉病患者的医院到家庭过渡. 该干预措施旨在提高服务不足的人群对心脏服务的可访问性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 卫生识字 卫生识字
背景情况:
- 冠心病 (CHD) 不成比例地影响着社会经济弱势群体,突出了平等获得医疗保健的需要.
- 改善心血管疾病患者获得医疗服务的有效策略是有限的,特别是那些与实践经验和临床医生共同设计的策略.
- "平等的心"研究解决了这一差距,重点关注患有冠状动脉疾病的服务不足人群.
研究的目的:
- 共同设计基于健康素养的干预措施,以提高医院心脏服务的可访问性.
- 通过改善对服务不足群体的护理来解决CHD中的社会梯度.
- 为改善患者从医院到家庭的过渡制定实际策略.
主要方法:
- 一种混合方法的方法,使用三个阶段的代码设计原则:问题识别,干预开发和翻译.
- 焦点小组,采访CHD患者,文化多元化的健康消费者和临床医生,以确定健康素养障碍.
- 使用Levesque的框架和一个代码设计研讨会进行主题分析,以优先考虑障碍并开发干预措施.
主要成果:
- 心脏病患者报告说,他们没有为出院做好准备,并且对事件后的健康管理不确定.
- 制定了一个代码设计的干预措施,即患者出院行动计划.
- 该干预措施的具体目标是改善心血管疾病患者从医院到家庭的过渡.
结论:
- 一项医疗服务干预措施,即患者出院行动计划,成功地使用健康素养原则进行了代码设计.
- 该干预旨在改善服务不足的心脏病患者群体的心脏服务可用性.
- 患者出院行动计划目前正在试点随机对照试验 (RCT) 中进行评估.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.4K
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.2K
相关概念视频
01:21Health Literacy
4.2K
Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative...
4.2K
01:26Levels of Health Promotion and Illness Prevention
13.3K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
13.3K
01:18Models of Health Promotion and Illness Prevention II
1.7K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.7K
01:25Models of Health Promotion and Illness Prevention I
2.2K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.2K
01:28Cardiac Catheterization I: Pre-Procedure Overview
180
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
180
01:27Coronary Artery Disease V: Interprofessional Care
39
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
39