在初级中等保健接口定义质量转诊的理论框架:系统性范围审查与定性内容分析
Samatar Osman1,2, Rosie Harrison3, Claire Burton1
1Keele University, Newcastle-under-Lyme, United Kingdom.
概括
高质量的初级至二级护理转诊需要明确的临床推理,全面的病史和患者参与. 一个新的框架和检查清单旨在提高转诊质量和患者护理.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 主要护理-二级护理接口
- 临床沟通 临床沟通
背景情况:
- 从初级保健到中级保健的转诊是必不可少的,但质量不同.
- 不充分的转诊信息可能导致患者护理延迟,医疗保健成本增加.
- 目前,对于高质量的推缺乏普遍接受的框架.
研究的目的:
- 定义一个理论框架,在初级和中级护理之间提供高质量的转诊服务.
- 确定有效推实践的关键组成部分.
主要方法:
- 对EMBASE,CINAHL和Medline数据库的系统范围审查 (1999年7月至2024年8月).
- 54项研究的定性内容分析包括按照PRISMA-ScR指导方针进行的英语研究.
- 诱导性分析以确定有效推的属性,分成主题.
主要成果:
- 四个主要主题出现了:患者的临床特征,临床推理,患者因素和系统障碍.
- 具体要素包括全面的病史,相关的调查,明确的转诊问题,结构化模板和患者理解.
- 基于这些发现,制定了一份质量改进检查清单.
结论:
- 有效的推平衡了细节和可用性,优先考虑对临床推理,病史和患者参与的明确沟通.
- 解决行政负担对于高效和高质量的转诊至关重要.
- 开发的框架和检查清单可以指导推实践的改进.
相关概念视频
Primary Healthcare Services
1.9K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.9K
Secondary Healthcare System
2.0K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.0K
Methods of Documentation VI: Case Management Model
852
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
852
Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
Purpose of Health Records I
1.7K
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
1.7K
Tertiary Healthcare System
2.1K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
2.1K


