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首页> 外文期刊>Journal of the American Academy of Nurse Practitioners. >Process improvements and shared medical appointments for cardiovascular disease prevention in women
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Process improvements and shared medical appointments for cardiovascular disease prevention in women

机译：改善妇女心血管疾病的流程和共享医疗任命

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Problem: Cardiovascular disease (CVD) is clinically unique in women and is often underdiagnosed and undertreated. Chronic diseases account for 75% of healthcare expenditures in the United States, of which 70% are preventable through lifestyle changes and active medical management. Lifestyle modification is difficult in the context of the traditional medical visit.Design: The Club Red Clinic uses a novel approach to enhance the care of women at risk for or with CVD. Through shared medical appointments (SMAs) and a multidisciplinary team approach, Club Red provides lifestyle training in addition to evidence-based practice to reduce CVD risk factors in women. In Club Red, nurse practitioners function independently and effectively in delivering lifestyle intervention for the management and prevention of CVD. Setting: The clinic functions within an academic medical school at the University of Virginia.Key measures for improvement: Patient access, patient satisfaction, provider efficiency, and frequency of cardiovascular visits. Effects of change: Process improvements include reduced appointment wait times, improved provider efficiency (more patients seen with the SMAs), high patient satisfaction (96%), and improved adherence to recommended medical monitoring (3.8 visits/year).Lessons learned: Club Red improved patient access, patient satisfaction, medical and behavioral management, and health promotion education for women with or at risk for CVD.
机译：问题：心血管疾病（CVD）在女性中临床上很独特，并且经常被诊断不足和治疗不足。慢性病占美国医疗保健支出的75％，其中70％可通过改变生活方式和积极的医疗管理来预防。在传统的就诊过程中，改变生活方式很难。设计：Club Red Clinic使用一种新颖的方法来增强对有CVD风险或患有CVD的女性的护理。通过共享医疗任命（SMA）和多学科团队方法，Club Red除了提供循证医学实践以减少女性CVD危险因素外，还提供生活方式培训。在Red Club中，执业护士独立有效地提供生活方式干预措施，以管理和预防CVD。地点：弗吉尼亚大学学术医学院内的诊所功能;主要改善措施：患者入院，患者满意度，医疗服务提供者效率和心血管访视频率。变更的影响：流程改进包括减少预约等待时间，提高服务提供者效率（使更多的患者接受SMA），较高的患者满意度（96％）以及对推荐医疗监测的依从性提高（3.8次/年）。 Red改善了患有CVD或有CVD风险的女性的患者就诊机会，患者满意度，医疗和行为管理以及健康促进教育。

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