在早期实施护理协调倡议期间,患者对护理整合的看法
Denise M Hynes1,2,3, Alex Hickok1, Holly McCready1
1VA Portland Health Care System, OR, USA.
Medical care research and review : MCRR
|January 30, 2026
概括
护理协调服务与高风险退伍军人卫生管理局患者的综合护理体验几乎没有关联. 可能需要进一步实施监测和调整,以改善患者对综合护理的看法.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 患者体验 患者体验
背景情况:
- 护理协调与综合护理体验有关.
- 来自系统级护理协调倡议的证据有限.
- 退伍军人卫生管理局 (VHA) 实施了一项全国性护理协调倡议.
研究的目的:
- 为了比较VHA患者与没有护理协调服务之间的感知护理整合.
- 评估早期实施国家护理协调倡议对患者感知的影响.
- 评估六个已验证的护理整合维度.
主要方法:
- 非随机的,横截面的研究设计.
- 调查714名高危住院或死亡的VHA患者,与临床记录联系在一起.
- 在31个VHA站点中,接受护理协调服务的患者与没有接受护理协调服务的患者的比较.
主要成果:
- 48%的受访者接受了护理协调服务.
- 回归模型表明,接受护理协调和感知护理整合之间的联系很弱.
- 评估的关键方面包括员工知识,提供者支持和沟通.
结论:
- 目前实施的护理协调服务对患者感知到的综合护理的影响很小.
- 有效的实施监测和适应性策略对于提高患者对综合护理的看法至关重要.
- 需要进一步的研究来优化大型医疗保健系统中的护理协调模型.
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