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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Stroke Inpatient Rehabilitation Team Conferences: Leadership and Structure Improve Patient Outcomes
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Stroke Inpatient Rehabilitation Team Conferences: Leadership and Structure Improve Patient Outcomes

机译：中风住院后康复团队会议：领导和结构改善患者结果

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摘要

Consensus on how rehabilitation teamwork and services are optimally coordinated continues to be a work in progress. One area of recent research has been inpatient-rehabilitation team conferences in stroke. The prevalence of Americans living with stroke is expected to gradually increase as the U.S. population ages, as will the related direct and indirect costs. Effective interdisciplinary team conferences during acute-stroke inpatient-rehabilitation are key to managing long-term costs while improving functional outcomes. Effective team conferences help to identify patients at risk for medical complications and institutionalization and help to determine interventions that will focus on patients' medical, physical, cognitive, emotional, and social barriers to recovery and barriers to a community/home disposition. This scoping review paper identifies and analyzes literature on theory and structure of effective teams with the focus on stroke interdisciplinary rehabilitation team conferences and offers suggestions for improvement. Potential flaws of commonly used team conference formats are described. Studies are outlined showing associations between stroke patient outcomes and better care coordination and leadership in medical teamwork; and 2 examples of successful interdisciplinary team conference models used in stroke inpatient-rehabilitation are provided that support a case for a proactive, conscious structure to team conferences. Given the complexity of many stroke patients' clinical care, greater attention to team functioning, and especially team conference leadership and structure, may be a promising area of focus to improve the quality of health care services for people with stroke.
机译：关于康复团队和服务如何最佳协调的共识仍在进行中。最近研究的一个领域是中风住院康复团队会议。随着美国人口老龄化，中风患者的患病率预计将逐渐增加，相关的直接和间接成本也将增加。急性脑卒中住院患者康复期间有效的跨学科团队会议是管理长期成本，同时改善功能结果的关键。有效的团队会议有助于确定有医疗并发症和住院风险的患者，并有助于确定干预措施，重点关注患者的医疗、身体、认知、情感和社会障碍，以及社区/家庭倾向障碍。这篇范围界定综述论文确定并分析了关于有效团队的理论和结构的文献，重点是中风跨学科康复团队会议，并提出了改进建议。描述了常用团队会议格式的潜在缺陷。研究表明，中风患者的预后与医疗团队中更好的护理协调和领导能力之间存在关联；本文还提供了两个成功的跨学科团队会议模型的例子，这些模型用于中风住院患者康复，支持一个主动、有意识地组织团队会议的案例。鉴于许多中风患者临床护理的复杂性，更加关注团队功能，尤其是团队会议的领导和结构，可能是提高中风患者医疗服务质量的一个有希望的重点领域。

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