一项旨在提高退伍军人选择和咨询的质量改善计划
概括
实施分散的安排过程改善了退伍军人的社区护理,尽管以患者为中心的护理仍然是首要任务. 这项倡议尊重退伍军人的选择,旨在提高退伍军人卫生系统的保留率.
科学领域:
- 医疗服务研究
- 提高医疗保健的质量
- 退伍军人事务 医疗系统
背景情况:
- 退伍军人事务 (VA) 提供社区护理 (CC),以提高退伍军人获得医疗保健的机会.
- CC调度的变化与手术体积的减少相关.
- 一个项目旨在在2024年9月之前将符合CC资格的退伍军人保留率从66%提高到76%,强调退伍军人自主权.
研究的目的:
- 调查分散的安排过程对社区护理资格的退伍军人的影响.
- 为了确保退伍军人的自主权和选择权,
- 为应对与局部CC调度变化相关的预期外科手术量下降.
主要方法:
- 一个质量改善小组发现退伍军人没有在退伍军人和社区护理之间做出选择.
- 一个分散的,个性化的安排流程被实施,以维护老兵的选择.
- 在各个手术领域分阶段推广期间,监测了咨询保留率.
主要成果:
- 新的安排过程导致保留率从66.1%增加到69.3%.
- 对于超过5500人来说, 退伍军人的选择得到了成功.
- 这项干预措施显示了咨询保留率的轻微改善.
结论:
- 分散安排可能不会显著影响私人和VA网络的患者保留.
- 复杂的医疗保健过程可能会无意中损害以患者为中心的护理.
- 维持以患者为中心的护理应该是医疗保健系统战略的首要目标.
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