背景:随着医疗和患者护理系统的复杂性增加,病人导航的概念在普及和应用的广度上都在增长。病人导航员是经过培训的人员,其作用不是提供临床护理,而是与患者合作,帮助他们确定他们的需求和目标,然后克服可修改的患者-,提供者-,和系统级障碍。由于其发病率高,持续时间,和医学社会的复杂性,痴呆症是以患者为中心的医疗保健提供模式(如护理导航)的理想候选者。
方法:阿尔茨海默氏症协会成立了一个由痴呆症护理导航领域的研究人员组成的专家工作组,以确定基于证据的指南。
结果:认识到痴呆症患者及其护理伙伴的独特和具有挑战性的需求,近年来,美国已经开发并评估了几项痴呆症护理导航计划.这些计划共同表明,痴呆症患者及其护理伙伴受益于痴呆症护理导航。改善痴呆症患者的护理系统结果包括减少急诊就诊,降低医院再入院率,住院天数减少,和较短的长期护理安置延迟。幸福也增加了,随着抑郁症的减少,疾病,应变,尴尬,行为症状和自我报告的生活质量提高。对于护理伙伴来说,痴呆导航导致抑郁减少,负担,和未满足的需求。
结论:本文介绍了痴呆症护理导航的原则,以告知现有和新兴的痴呆症护理导航计划。
■美国几项痴呆症护理导航计划已经证明了痴呆症患者的预后,护理伙伴,和卫生系统。阿尔茨海默氏症协会成立了一个由痴呆症护理导航领域的研究人员组成的专家工作组,以创建一个共享的定义并确定基于证据的指南或原则。这些概述的痴呆症护理导航原则可以为现有和新兴的痴呆症护理导航计划提供信息。
BACKGROUND: As the complexity of medical treatments and patient care systems have increased, the concept of patient navigation is growing in both popularity and breadth of application. Patient navigators are trained personnel whose role is not to provide clinical care, but to partner with patients to help them identify their needs and goals and then overcome modifiable patient-, provider-, and systems-level barriers. Due to its high incidence, duration, and medical-social complexity, dementia is an ideal candidate for a patient-centric health care delivery model such as care navigation.
METHODS: The Alzheimer\'s Association formed an expert workgroup of researchers in the field of dementia care navigation to identify evidence-based guidelines.
RESULTS: Recognizing the unique and challenging needs of persons living with dementia and their care partners, several U.S. dementia care navigation programs have been developed and assessed in recent years. Collectively these programs demonstrate that persons living with dementia and their care partners benefit from dementia care navigation. Improved care system outcomes for the person living with dementia include reduced emergency department visits, lower hospital readmissions, fewer days hospitalized, and shorter delays in long-term care placement. Well-being is also increased, as there is decreased depression, illness, strain, embarrassment, and behavioral symptoms and increased self-reported quality of life. For care partners, dementia navigation resulted in decreased depression, burden, and unmet needs.
CONCLUSIONS: This article presents principles of dementia care navigation to inform existing and emerging dementia care navigation programs.
UNASSIGNED: Several U.S. dementia care navigation programs have demonstrated outcomes for persons living with dementia, care partners, and health systems.The Alzheimer\'s Association formed an expert workgroup of researchers in the field of dementia care navigation to create a shared definition and identify evidence-based guidelines or principles.These outlined principles of dementia care navigation can inform existing and emerging dementia care navigation programs.