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医疗之家:通过以患者为中心的护理计划改变患者与医疗团队的互动方式。

A medical home: changing the way patients and teams relate through patient-centered care plans.

作者信息

Council Lora Schwartz, Geffken Dominic, Valeras Aimee Burke, Orzano A John, Rechisky Amanda, Anderson Suzanne

机构信息

Dartmouth Hitchcock Family Medicine, Hudson, New Hampshire 03301, USA.

出版信息

Fam Syst Health. 2012 Sep;30(3):190-8. doi: 10.1037/a0029832.

DOI:10.1037/a0029832
PMID:22985385
Abstract

The patient-centered medical home model incorporates patient-centered care as a central tenet and espouses the health care team partnering with an engaged patient. The tools to accomplish this type of care have not evolved along with these values. This report describes how the adoption and use of a patient-centered care plan (PCCP) document enhanced care for complex patients and changed the relationships with health team members. The PCCP was used in a residency-affiliated community hospital, group family medicine site and provided patient-centered, goal-directed care for complex patients. Use of the PCCP changed the patient-team relationship, showing that this care plan document can support the practice of the patient-centered medical home model by enhancing patient-centered, coordinated, comprehensive care. (PsycINFO Database Record (c) 2012 APA, all rights reserved).

摘要

以患者为中心的医疗之家模式将以患者为中心的护理作为核心原则,并主张医疗团队与积极参与的患者建立合作伙伴关系。实现这种护理类型的工具并未随着这些价值观的发展而演变。本报告描述了以患者为中心的护理计划(PCCP)文件的采用和使用如何加强了对复杂患者的护理,并改变了与医疗团队成员的关系。PCCP在一家与住院医师培训相关的社区医院、团体家庭医学场所使用,为复杂患者提供以患者为中心、目标导向的护理。PCCP的使用改变了患者与团队的关系,表明该护理计划文件可以通过加强以患者为中心、协调、全面的护理来支持以患者为中心的医疗之家模式的实践。(PsycINFO数据库记录(c)2012美国心理学会,保留所有权利)

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