与怀俄明州初级保健实践中医疗保险的慢性护理管理计划实施率高或低相关的因素
相关实验视频
Updated: Jul 9, 2026

12:08
Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Elizabeth Punke1, Lucas A Wall1, Christine L McKibbin1
1Department of Psychology, University of Wyominghttps://ror.org/01485tq96, Laramie, WY, USA.
Primary health care research & development
|February 11, 2026
概括
在美国农村的初级保健中,有效的慢性护理管理 (CCM) 的实施依赖于强大的网络,领导层的参与和评估. 改善这些因素可以提高患者护理协调和计划的可持续性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 实施科学 实施科学
背景情况:
- 慢性护理管理 (CCM) 提供了显著的患者和医疗服务提供者的好处,但面临着很低的全国性实施.
- 现有的研究往往侧重于支付问题,忽视了领导力,文化和培训等关键因素,特别是在农村环境中.
研究的目的:
- 确定影响美国农村初级保健实践中医疗保险的CCM计划实施不同水平的关键因素.
主要方法:
- 在怀俄明州6个农村初级保健实践中采用混合方法方法.
- 与13名医疗保健专业人员进行的半结构面试使用了实施研究综合框架 (CFIR).
- 实践绩效数据将网站分类为高或低实施者,采访使用CFIR构造进行分析.
主要成果:
- 网络和沟通,领导参与,反思和评估成为高和低实施地点之间的关键差异化因素.
- 高度实施的网站在团队沟通,领导力支持和定期计划评估方面表现出色.
- 低绩效的网站与沟通不良,领导力支持不足和反系统薄弱而斗争.
结论:
- 强有力的沟通,积极的领导和强有力的评估对于在农村初级保健中成功实施CCM至关重要.
- 需要针对这些组织因素进行有针对性的干预,重点关注资源有限,孤立环境的可扩展策略.
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...
Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
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
Chronic Obstructive Pulmonary Disease-V: Nursing Management
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment