长期护理-急诊系统整合与转型：护理模式的创新。

Q3 Medicine

Healthcare Management Forum Pub Date : 2024-10-27 DOI:10.1177/08404704241293316

Beatrise Edelstein, Denise Scott, Kathleen Kirk

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引用次数: 0

摘要

文章讨论了整合长期护理（LTC）和急诊系统的创新方法，重点介绍了亨伯河健康中心（HRH）的模式。由于体弱多病和医疗复杂性，住在长期护理院的老年人很容易出现可避免的急诊就诊（ED）情况。Humber River Health 与 LTC 合作伙伴共同开发了以 LTC 远程监控（RM）为中心的综合护理模式，利用护士主导的护理模式、数字工具和虚拟护理中心来减少可避免的急诊室转院。其主要组成部分包括用于早期发现临床病情恶化的 PREVIEW-ED© 工具、LTC+ Hub 和 LTC++ 诊断成像及交通，支持改善医疗保健服务的获取。该计划符合 "五重目标"（Quintuple Aim），强调患者和医疗服务提供者的体验、人口健康、降低成本和健康公平。结果表明，急诊室就诊率、住院时间和相关费用大幅减少，同时提升了居民和医疗服务提供者的体验。LTC RM 模式被定位为综合护理系统转型的可扩展解决方案。

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Long term care-acute system integration and transformation: Innovations in models of care.

The article discusses innovations in integrating Long-Term Care (LTC) and acute systems, focusing on Humber River Health's (HRH) model. Older adults in LTC homes are vulnerable to avoidable Emergency Department (ED) visits due to frailty and medical complexity. HRH developed an integrated care model centred on LTC Remote Monitoring (RM) with LTC partners, leveraging nurse-led care models, digital tools, and virtual care hub to reduce avoidable ED transfers. Key components include the PREVIEW-ED© tool for early detection of clinical deterioration, LTC+ Hub and LTC++ Diagnostic Imaging and Transportation, supporting improved access to healthcare services. The program aligns with the Quintuple Aim, emphasizing patient and provider experiences, population health, cost reduction, and health equity. Results show significant reductions in ED visits, hospital lengths of stay, and associated costs, while enhancing resident and provider experiences. The LTC RM model is positioned as a scalable solution for system transformation in integrated care.

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来源期刊

Healthcare Management Forum Medicine-Health Policy

CiteScore

3.60

自引率

0.00%

发文量

期刊介绍： Healthcare Management Forum is the official journal of the Canadian College of Health Service Executives. It is the only peer-reviewed journal that covers issues related to advances in health services management, theory and practice in a Canadian context. The quality of its contributors, the rigorous review process and the leading-edge topics make it truly unique!