长期护理提供者在患者过渡到长期护理期间对健康信息交换的观点:多个案例研究
Augustine Chukwuebuka Okoh1, Aimun Shah2, Christine Lin2
1Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada.
管理过渡到长期护理 (LTC) 的老年人信息连续性是具有挑战性的,因为数据不完整. 加强合作和信息交换对于更好的护理过渡至关重要.
科学领域:
- 医疗保健管理的管理
- 老年学是指老年学的学科.
- 医疗信息学 医疗信息学
背景情况:
- 信息连续性对于有效的长期护理 (LTC) 护理过渡至关重要.
- 老年人经常在从社区或医院环境过渡到LTC时经历碎片化的信息传输.
研究的目的:
- 探索加拿大安大略省长期护理团队如何为过渡的老年人管理信息连续性.
- 在LTC过渡期间识别信息交换过程中的挑战和促进者.
主要方法:
- 采用了多个案例研究设计.
- 在加拿大安大略省的五个LTC家庭中,对20名医疗保健专业人员进行了采访.
- 参与者代表了各种各样的角色,包括护理,医学,康复和管理.
主要成果:
- 临床治疗提供者需要全面的生物心理社会信息,但来自社区和医院来源的数据往往不完整或过时.
- 工作人员积极从电子健康记录,家庭和其他医疗保健专业人员等各种来源寻找缺失的信息.
- 信息获取受到组织能力,提供者动态,家庭支持和访问电子健康记录等因素的影响.
结论:
- 改善信息连续性需要在过渡到LTC期间解决数据传输的差距.
- 加强初级/医院-LTC合作,鼓励连续性,并专门的过渡管理人员可以优化信息交换.
- 解决这些因素对于确保进入LTC的老年人得到有效和安全的护理至关重要.
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