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首页> 外文期刊>International Journal of Integrated Care >A framework for understanding outcomes of integrated care programs for the hospitalized elderly
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A framework for understanding outcomes of integrated care programs for the hospitalized elderly

机译:了解住院老人综合护理计划结果的框架

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Introduction : Integrated care has emerged as a new strategy to enhance the quality of care for hospitalised elderly. Current models do not provide insight into the mechanisms underlying integrated care delivery. Therefore, we developed a framework to identify the underlying mechanisms of integrated care delivery. We should understand how they operate and interact, so that integrated care programmes can enhance the quality of care and eventually patient outcomes. Theory and methods: Interprofessional collaboration among professionals is considered to be critical in integrated care delivery due to many interdependent work requirements. A review of integrated care components brings to light a distinction between the cognitive and behavioural components of interprofessional collaboration. Results : Effective integrated care programmes combine the interacting components of care delivery. These components affect professionals’ cognitions and behaviour, which in turn affect quality of care. Insight is gained into how these components alter the way care is delivered through mechanisms such as combining individual knowledge and actively seeking new information. Conclusion : We expect that insight into the cognitive and behavioural mechanisms will contribute to the understanding of integrated care programmes. The framework can be used to identify the underlying mechanisms of integrated care responsible for producing favourable outcomes, allowing comparisons across programmes.
机译:简介:综合护理已成为提高住院老人护理质量的新策略。当前的模型没有提供对综合护理提供基础机制的见解。因此,我们开发了一个框架来识别综合护理提供的基本机制。我们应该了解他们的运作方式和相互作用,以便综合护理计划可以提高护理质量并最终提高患者的治疗效果。理论和方法:由于许多相互依赖的工作要求,专业人员之间的跨专业合作被认为对综合护理服务至关重要。对综合护理组成部分的回顾揭示了专业间协作的认知和行为组成部分之间的区别。结果:有效的综合护理计划结合了护理提供的相互作用。这些成分会影响专业人员的认知和行为,进而影响护理质量。通过组合个人知识和积极寻求新信息等机制,可以洞悉这些组件如何改变提供护理的方式。结论:我们希望对认知和行为机制的了解将有助于对综合护理计划的理解。该框架可用于确定负责产生有利结果的综合护理的基本机制,从而可以对各个计划进行比较。

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