从碎片化到整合:哥伦比亚初级卫生系统中患者报告的心血管保健的获取
Sandra Camacho1, Diana Pinto Masis1, Javier Amaya-Nieto1
1Universidad Nacional de Colombia Bogotá Colombia Universidad Nacional de Colombia, Bogotá, Colombia.
概括
患有高血压和糖尿病的患者报告了综合护理途径的积极经验,尽管在药物获取和专家转诊方面仍然存在挑战. 心脑血管和代谢综合医疗护理途径 (CVD-RIAS) 在协调护理方面取得了进展.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 慢性疾病管理 慢性疾病管理
背景情况:
- 高血压和糖尿病管理需要综合护理途径.
- 心脑血管和代谢综合医疗护理途径 (CVD-RIAS) 旨在改善服务获取和护理协调.
- 评估患者体验对于评估医疗保健系统绩效至关重要.
研究的目的:
- 评估患者报告的CVD-RIAS服务获取情况.
- 确定高血压和糖尿病患者综合护理方面的成就和挑战.
- 根据社会人口统计学因素和临床风险分析经验.
主要方法:
- 对1258名高血压和/或2型糖尿病患者的横截面描述性分析.
- 采用了面对面的调查和链接的临床记录来收集数据.
- 检查了咨询,测试,处方和药物递送的机会,按人口统计和并发症分层.
主要成果:
- 85.5%的受访者表示没有访问问题;80%的受访者认为接触频率是正面的.
- 99.6%的人与专业人员联系,88%的人接受了测试,97.3%的人获得了药物.
- 专家接入率为60%,平均等待时间为两个月,高风险/高收入患者的等待时间更长.
结论:
- CVD-RIAS模型有效地扩大了服务获取,并将护理与临床风险结合起来.
- 正在促进积极的患者体验,这表明在综合服务提供方面取得了进展.
- 药物供应和转诊服务获取方面的差距需要加强协调和公平努力.
相关概念视频
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01:20Integrated Healthcare System
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