建立第一个适合老年人的医疗系统 - - 远程息护理诊所 - - 促进者,挑战,经验教训,改善对农村老年退伍军人的护理
Stephanie Hartz1, Alexander Garbin1,2, Courtney McGuire1
1Rocky Mountain Regional VA Medical Center, Aurora, CO, USA.
概括
年龄友好型医疗系统 (AFHS) 通过解决4M:思维,流动性,药物和最重要的事情来改善对老年人的护理. 美国退伍军人协会 (VA)
科学领域:
- 老年医学 老年医学
- 远程医疗远程医疗
- 抚慰性护理是一种缓解性护理.
背景情况:
- 年龄友好型卫生系统 (AFHS) 促进老年人的最佳实践.
- AFHS指定的诊所解决老年4M:思维,移动性,药物和最重要的事情.
- 华盛顿特区科罗拉多州东部医疗保健系统的远程治疗诊所是全国第一个AFHS指定的远程医疗诊所.
研究的目的:
- 评估AFHS指定的一家远程护理诊所的实施和结果.
- 在远程医疗环境中评估老年4M的一致解决方案.
- 确定AFHS指定对患者护理和资源利用的影响.
主要方法:
- 一个跨专业团队和年长的退伍军人指导了AFHS原则的规划和实施.
- 现有的员工和临床工作流程被用于在远程治疗护理访问期间解决老年4M.
- 这些指标包括AFHS识别,一致的4M评估,患者数量和节省的旅行里程.
主要成果:
- 该诊所获得了AFHS1级和2级的认可.
- 在23-24财年,AFHS进行了192次远程治疗护理访问,其中81%为农村退伍军人服务.
- 86% (FY23) 和76% (FY24) 的独特患者得到了所有4M的解决,节省了大量的旅行里程.
结论:
- 在远程护理诊所中AFHS的指定是一个新的国家成就.
- 基于证据的老年医疗护理可以通过远程医疗提供,而无需扩大人员或改变工作流程.
- 这个模型证明了提供高质量的,以患者为中心的护理的可行性,以老年人,无论护理方式.
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