“从‘阿罗哈’开始……”女王医疗中心Ke Ku'una Na'au项目病人导航员的故事。

Laura Kau'ionlani Nishizaki, Anthony Hereari'i Negrillo, Jonna Minky Ho'opai, Robert Naniole, Damien Hanake'awe, Kehau Pu'ou
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引用次数: 0

摘要

Ke Ku'una Na'au (KKN)导航员于2016年首次受雇于夏威夷檀香山的女王医疗中心(QMC),重点是减少社会和经济上脆弱的夏威夷原住民成年人的再入院率。据我们所知,QMC是该州第一家在医疗保健系统中使用社区卫生工作者作为患者出院后社区需求导航的急症护理医院。这篇文章讲述了我们作为来自夏威夷土著社区的5名耐心领航员在项目头两年的经历。这篇文章描述了我们是如何结束这个职业的,并总结了我们所学到的东西。我们还描述了与病人一起走过他们的康复之旅,这一旅程始于住院期间的病床边,始于我们说“阿罗哈”的那一刻。(本期的配套文章更详细地描述了KKN项目的历史、设计和临床结果。)我们希望这些故事能够激励那些担任社区卫生工作者角色的人,他们可能会在其他卫生保健组织中扮演我们的角色,并/或帮助支持类似项目的规划和实施,以满足其他社区的卫生需求。我们考虑对社区-临床联系的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

"It starts with 'Aloha…'" Stories by the Patient Navigators of <i>Ke Ku'una Na'au</i> Program at The Queen's Medical Center.

"It starts with 'Aloha…'" Stories by the Patient Navigators of Ke Ku'una Na'au Program at The Queen's Medical Center.

The Ke Ku'una Na'au (KKN) navigators were first hired in 2016 at The Queen's Medical Center (QMC) in Honolulu, Hawai'i, with a focus on reducing hospital readmissions for socially and economically vulnerable Native Hawaiian adults. To our knowledge, QMC was the first acute care hospital in the state to implement the use of community health workers into the health care system as navigators for patient needs in the community following discharge. This article tells the story of our experiences as the 5 patient navigators from the Native Hawaiian community during the first 2 years of the program. The article describes how we ended up in this vocation and a summary of what we have learned. We also describe walking with our patients through their journey of healing, a journey which begins at the bedside during hospitalization starting with the moment we say, "Aloha." (A companion article in this issue describes the KKN program history, design, and clinical outcomes in more detail.) We hope these stories are inspirational to others who fill the community health worker role and may walk in our shoes in other health care organizations and/or help support the planning and implementation of similar programs to meet other communities' health needs. We consider the implications for community-clinical linkages.

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