在初级保健机构中识别,吸引和支持护理合作伙伴:基于门户的干预
Catherine M DesRoches1, Deborah Wachenheim2, Jessica Ameling3
1OpenNotes, Division of General Medicine, Beth Israel Deaconness Medical Center, Department of Medicine, Harvard Medical School, 133 Brookline Avenue, HVMA Annex, Suite 2200, Boston, MA, 02215, USA. cdesroch@bidmc.harvard.edu.
一个新的基于门户的干预成功地确定并吸引了初级保健中的护理合作伙伴. 这种方法提供了一个可扩展的方法来支持家庭护理人员和数字连接弱势患者.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康干预措施 数字健康干预措施
- 主要护理是指初级护理.
背景情况:
- 数以百万计的美国人作为护理合作伙伴,提供基本的健康和功能相关的支持.
- 护理合作伙伴至关重要,但在医疗保健系统中往往未被识别和支持.
研究的目的:
- 评估一个基于门户的干预,旨在识别,参与和支持初级保健机构的护理合作伙伴.
- 评估数字工具的可行性和有效性,以将护理人员与资源联系起来.
主要方法:
- 一项多个地点的研究实施了一个门户通知系统,邀请患者填写预访问卷.
- 报告护理职责的患者与护理人员强度指数 (CII) 评估和当地资源相关.
- 临床材料补充了数字干预,为CII提供了访问信息.
主要成果:
- 访问前问卷的响应率因组织而异 (45.9%和64.9%).
- 大约17-23%的受访者报告了照顾者的责任,其中27-37%完成了CII.
- 完成CII的61%的患者报告了中度的护理强度,16-19%的患者获得了可用的资源.
结论:
- 这项试点研究代表了一项新的努力,旨在通过基于门户的干预来识别和支持护理合作伙伴.
- 调查结果表明,与CII和资源相关的简单门户问卷可以有效地参与并支持护理合作伙伴,以最小的工作流程中断.
- 这种数字化方法可以加强与弱势患者的接触,并为广泛的护理合作伙伴支持提供可扩展的解决方案.
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