改变医疗保健:综合医学的前沿
Dr David Godfrey1, Dr Sasza Koczanowski1, Dr Janakan Selvarajah1
1Department of Gastroenterology, Royal Melbourne Hospital, Parkville 3050, Victoria, Australia.
多学科IBD团队为管理炎症性肠病 (IBD) 提供以患者为中心的方法,改善临床和经济结果. 然而,获得这种黄金标准护理是不一致的,强调需要更广泛的实施.
科学领域:
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
- 临床管理 临床管理
背景情况:
- 炎症性肠病 (IBD) 带来了重大的临床和社会经济挑战.
- 多学科IBD团队 (MDIT) 被认为是IBD管理的最佳方法.
- MDIT集成了各种医疗保健专业人员,以提供全面的,以患者为中心的护理.
研究的目的:
- 审查支持实施多学科IBD护理的国际证据.
- 评估与MDIT相关的临床,经济和后勤结果.
- 确定MDIT广泛采用的障碍和促进因素.
主要方法:
- 在Medline OVID.的系统文献搜索.
- 包括59项研究,检查多学科团队参与IBD护理.
- 对研究的分析,重点是孤立的团队成员和整个团队的方法.
主要成果:
- 多学科IBD护理证明了改善的临床,经济和后勤结果.
- 尽管有强烈的建议,但MDIT的全面整合尚未得到广泛的支持.
- 主要障碍包括资金,劳动力短缺和地理差异.
结论:
- 目前的证据支持多学科IBD管理的有效性.
- 进一步的标准化研究至关重要,特别是在资源较少和农村环境中.
- 广泛采用MDIT对于可持续的,高质量的IBD护理提供至关重要.
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