Washington University in St. Louis School of Medicine, USA.
J Interprof Care. 2011 Nov;25(6):416-22. doi: 10.3109/13561820.2011.596455. Epub 2011 Sep 7.
Specialty care involves services provided by health professionals who focus on treating diseases affecting one body system. In contrast to primary care - aimed at providing continuous, comprehensive care - specialty care often involves intermittent episodes of care focused around specific medical conditions. In addition, it typically includes multiple providers who have unique areas of expertise that are important in supporting patients' care. Interprofessional care involves multiple professionals from different disciplines collaborating to provide an integrated approach to patient care. For patients to experience continuity of care across interprofessional providers, providers need to communicate and maintain a shared sense of responsibility to their patients. In this article, we describe challenges inherent in providing interprofessional patient decision support in specialty care. We propose ways for providers to engage in interprofessional decision support and discuss promising approaches to teaching an interprofessional decision support to specialty care providers. Additional evaluation and empirical research are required before further recommendations can be made about education for interprofessional decision support in specialty care.
专科护理涉及由专注于治疗影响单一身体系统疾病的卫生专业人员提供的服务。与旨在提供持续、全面护理的初级护理不同，专科护理通常涉及围绕特定医疗状况进行的间歇性护理。此外，它通常包括具有独特专业知识领域的多个提供者，这些领域对于支持患者的护理很重要。多专业护理涉及来自不同学科的多个专业人员合作，为患者护理提供综合方法。为了让患者在多专业提供者之间体验到护理的连续性，提供者需要进行沟通并对患者承担共同的责任。在本文中，我们描述了在专科护理中提供多专业患者决策支持所固有的挑战。我们提出了提供者参与多专业决策支持的方法，并讨论了向专科护理提供者教授多专业决策支持的有前途的方法。在对专科护理中的多专业决策支持教育提出进一步建议之前，需要进行额外的评估和实证研究。
