息护理融入南非卫生系统:实施前后研究
Juanita O Arendse1,2, Virginia Zweigenthal1,2, Liz Gwyther3
1Department of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Health SA = SA Gesondheid
|February 6, 2026
概括
南非 南非 南非
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
- 抚慰性护理是一种缓解性护理.
背景情况:
- 息护理 (PC) 是对患有生命限制条件的患者的伦理要求.
- 南非的国家政策要求将PC整合到公共卫生服务中.
研究的目的:
- 在政策实施之前和两年后评估息护理服务的整合.
- 评估国家缓和护理政策框架和战略的影响.
主要方法:
- 横截面描述性研究比较基线 (2019) 和后续 (2021) 数据.
- 审查了15份文件,使用吗啡 (作为止痛指标) 和ICD-10编码 (作为服务可用性代理).
- 评估融资,规划和服务交付指标.
主要成果:
- 息护理显示部分整合到初级保健.
- 增加了PC床位,培训了医疗保健专业人员,并观察到吗啡的使用.
- 整合水平在整个地区有很大差异.
结论:
- 将PC整合到过度负担的卫生系统中存在挑战.
- 需要进一步的PC整合和量身定制的专业培训.
- 一些子区的成功实践可以为其他地区提供信息.
相关概念视频
Methods Of Healthcare Delivery System
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 limited...
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 limited...
Continuing Care
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
Integrated Healthcare System
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
Nursing Implementation
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Methods of Documentation VI: Case Management Model
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 illness...
For example, a patient with a chronic illness...
Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
