关键词: Integrated Care Pathway design thinking hospital at home older adults patient journey respiratory infection

来  源:   DOI:10.5334/ijic.6991   PDF(Pubmed)

Abstract:
UNASSIGNED: Acute respiratory infections are common in frail, community-dwelling older people and are accompanied by considerable diagnostic and prognostic uncertainties. Inadequately coordinated care is associated with unnecessary hospital referral and admission with potential iatrogenic harm. Therefore, we aimed to co-create a regional integrated care pathway (ICP), including a hospital at home journey.
UNASSIGNED: Tasked with using design thinking methodology, stakeholders from regional healthcare facilities, together with patient representatives, were assigned to different focus groups based on their expertise. The focus of each session was to co-create ideal patient journeys suitable for embedding in the ICP.
UNASSIGNED: Based on these sessions, a regional cross-domain ICP was developed that comprises three patient journeys. The first journey included a hospital at home track, the second a tailored visit, with priority assessment, to regional emergency departments, and the third concerned referral to readily available nursing home \'recovery-beds\' under the supervision of an elderly care medicine specialist.
UNASSIGNED: Using design thinking and involving end-users during the whole process, we created an ICP for community-dwelling frail older people with moderate-severe acute respiratory infections. This resulted in three realistic patient journeys, including a hospital at home track, which will be implemented and evaluated in the near future.
摘要:
急性呼吸道感染常见于体弱者,社区居住的老年人,并伴随着相当大的诊断和预后不确定性。不充分协调的护理与不必要的医院转诊和入院相关,并有潜在的医源性伤害。因此,我们的目标是共同创建区域综合护理途径(ICP),包括在家旅行的医院。
负责使用设计思维方法,来自区域医疗机构的利益相关者,与患者代表一起,根据他们的专业知识被分配到不同的焦点小组。每个课程的重点是共同创造适合嵌入ICP的理想患者旅程。
基于这些会话,我们开发了一个区域性跨域ICP,包括3个患者旅程.第一次旅行包括在家中的医院,第二次是量身定制的访问,优先评估,到地区急诊室,第三个涉及在老年护理医学专家的监督下转介到现成的疗养院“康复床”。
在整个过程中使用设计思维并让最终用户参与其中,我们为患有中-重度急性呼吸道感染的社区居住体弱老年人创建了ICP.这导致了三个现实的病人旅程,包括家中的一家医院,将在不久的将来实施和评估。
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