家庭医学学习和经验 (FLEX) 实验室:促进临床护理和操作的协作方法
Margaret M Paul1, Marc R Matthews2, Gerry B Greaney2
1From the Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Division of Health Care Delivery Research, Mayo Clinic, Phoenix, AZ (MMP, MRM); Mayo Clinic Family Medicine Department, Rochester, MN (MRM, JDG, TS, JSE); Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Division of Health Care Delivery Research, Mayo Clinic, Rochester, MN (GBG); Mayo Clinic Strategy Department, Rochester, MN (JSE). paul.margaret@mayo.edu.
Journal of the American Board of Family Medicine : JABFM
|January 6, 2026
概括
家庭医学学习和体验 (FLEX) 实验室推动了初级保健领域的创新. 它采用连续的方法,包括护士主导的管理和远程医疗等干预措施,以提高患者护理效率.
科学领域:
- 初级保健创新初级保健的创新
- 卫生系统管理管理卫生系统管理
- 改善临床实践的改善
背景情况:
- 越来越多的初级保健需求和复杂性需要有效的患者管理策略.
- 对于在医疗保健环境中实施实践层面的创新,存在有限的指导.
- 慢性疾病负担的增加使现有的初级保健模式受到压力.
研究的目的:
- 在初级保健环境中开发和实施创新策略,以提高效率和患者获取.
- 建立家庭医学学习和经验 (FLEX) 实验室,作为持续实践改进的平台.
- 为了应对为更多患者提供高质量的护理的挑战,员工人数有限.
主要方法:
- 梅奥诊所家庭医学部门进行了为期2年的多阶段规划过程.
- 成立了FLEX实验室,旨在在日常实践中识别和实施创新机会.
- 采用了一种增量和持续的设计和创新方法,由临床医生和工作人员的投入提供信息.
主要成果:
- 在FLEX实验室实施了新的干预措施,包括由护士领导的高血压管理和任务转移.
- 远程医疗访问和环境文档的整合是初始阶段的关键组成部分.
- 早期发现表明,在初级保健环境中,提高效率和护理提供的潜力.
结论:
- 弗莱克斯实验室是卫生系统寻求战略实践改进的适应性模型.
- 通过实时临床医生和工作人员的投入,实践的持续,阶段性发展得到了支持.
- 这种FLEX实验室的方法可以广泛应用于各种医疗保健系统,旨在提高初级保健的提供.
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