公共卫生 公共卫生
John Clark1, Andrea Snyder1, Janet Appel1
1Sharp Reese-Stealy Medical Group, San Diego, CA, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
这项研究将认知评估整合到常规护理中,用于早期发现痴呆症. 大脑健康导航模型改善了初级和专科护理机构的诊断过程.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 医疗保健管理的管理
背景情况:
- 利利斯-斯蒂利医疗中心 (SRSMC) 每年在南加州为35万名患者提供服务.
- SRSMC提供多样化的临床服务,包括家庭访问和认知评估,以满足患者的需求和交通障碍.
- 卫生系统的目标是改善城市和农村地区的患者获得护理的机会,包括那些被迫回家的人.
研究的目的:
- 为患有痴呆症风险增加的患者实施标准化的认知评估.
- 加强提供者教育,并利用技术工具进行认知健康管理.
- 建立多学科的护理团队,以提供全面的患者支持.
主要方法:
- 一个涉及130名初级保健医生 (PCP) 的试点项目,与人口健康集成.
- 标准化工作流程,加强提供者教育,以及用于认知评估的技术工具.
- 利用EHR用于自动提醒,远程医疗用于远程访问,以及多学科团队.
主要成果:
- 通过综合评估,早期识别认知能力下降.
- 通过教育资源和支持赋予患者和护理人员权力.
- 改善认知衰退的管理和治疗.
结论:
- 大脑健康导航模型促进了初级和专科护理之间的边界跨越.
- 支持有认知需求的患者及时准确的诊断旅程.
- 适用于SRSMC和其他旨在改善认知护理途径的卫生系统.
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