医院出院后相关医疗需求的指标 - - 定性研究
J W M van Grootel1, I Bosman2, R J Collet3
1Amsterdam UMC location University of Amsterdam, Department of Rehabilitation Medicine, Meibergdreef 9, Amsterdam, The Netherlands; Amsterdam Movement Sciences, Ageing and Vitality, Amsterdam, The Netherlands; Amsterdam Movement Sciences, Musculoskeletal Health, Amsterdam, The Netherlands.
概括
医院专业人员现在可以使用17个关键指标来评估患者出院后的医疗保健需求. 这有助于规范护理计划,并改善住院后的患者结果.
科学领域:
- 医疗管理
- 康复医学
- 临床实践
背景情况:
- 在住院后评估相关医疗需求对于患者的康复至关重要.
- 目前识别这些需求的方法缺乏标准化.
- 基于医院的医疗保健专业人员需要明确的指标来有效评估患者.
研究的目的:
- 为医院医疗保健专业人员确定关键指标.
- 确定住院后患者的相关医疗保健需求.
- 标准化住院后护理的查过程.
主要方法:
- 在荷兰一家医院与医疗保健专业人员进行半结构面试.
- 使用布劳恩和克拉克方法论进行发现的专题分析.
- 使用国际功能,残疾和健康分类 (ICF) 来确定指标的分类.
主要成果:
- 在ICF组件中确定了17个指标:健康状况,身体功能和结构,活动,外部因素和个人因素.
- 三个新兴主题:时间,统一性和身份识别过程中的角色和协作.
- 样本问题是为了帮助临床实践而开发的.
结论:
- 已经确定了关键指标,以标准化住院后相关医疗需求的查.
- 建议开发一个易于使用的工具 (如检查清单,决策辅助工具) 来规划常规排放.
- 未来的研究应该集中在将这些指标整合到临床实践中.
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