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首页> 美国卫生研究院文献>Canadian Respiratory Journal >Building a Comprehensive System of Services to Support Adults Living with Long-Term Mechanical Ventilation
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Building a Comprehensive System of Services to Support Adults Living with Long-Term Mechanical Ventilation

机译：建立全面的服务体系以支持长期机械通气的成年人

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Background. Increasing numbers of individuals require long-term mechanical ventilation (LTMV) in the community. In the South West Local Health Integration Network (LHIN) in Ontario, multiple organizations have come together to design, build, and operate a system to serve adults living with LTMV. Objective. The goal was to develop an integrated approach to meet the health and supportive care needs of adults living with LTMV. Methods. The project was undertaken in three phases: System Design, Implementation Planning, and Implementation. Results. There are both qualitative and quantitative evidences that a multiorganizational system of care is now operational and functioning in a way that previously did not exist. An Oversight Committee and an Operations Management Committee currently support the system of services. A Memorandum of Understanding has been signed by the participating organizations. There is case-based evidence that hospital admissions are being avoided, transitions in care are being thoughtfully planned and executed collaboratively among service providers, and new roles and responsibilities are being accepted within the overall system of care. Conclusion. Addressing the complex and variable needs of adults living with LTMV requires a systems response involving the full continuum of care.
机译：背景。越来越多的人需要社区中的长期机械通气（LTMV）。在安大略省的西南地方卫生整合网络（LHIN）中，多个组织聚集在一起设计，构建和运行一个系统，为患有LTMV的成年人提供服务。目的。目标是开发一种综合方法来满足LTMV成年人的健康和支持护理需求。方法。该项目分三个阶段进行：系统设计，实施计划和实施。结果。有定性和定量的证据表明，一个多组织护理系统现在已经以以前不存在的方式运作和运行。监督委员会和运营管理委员会目前支持服务系统。参与组织已经签署了谅解备忘录。有基于案例的证据表明，正在避免住院，在服务提供者之间精心设计和实施护理过渡，并在整个护理系统中接受新的角色和职责。结论。要解决LTMV成年人的复杂而多变的需求，就需要系统的响应，其中涉及全面的连续护理。

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