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时机已至:安大略省北部一个社区为三级综合复杂护理服务快速实施中心辐射型护理模式。

It's About Time: Rapid Implementation of a Hub-and-Spoke Care Delivery Model for Tertiary-Integrated Complex Care Services in a Northern Ontario Community.

作者信息

Major Nathalie, Rouleau Marie, Krantz Chantal, Morris Karen, Séguin François, Allard Megan, Lin Jia Lu Lilian, Salenieks Mary Ellen, Sultan Roxana, Smith W Gary

机构信息

A pediatrician and the medical director of the Complex Care Program at the Children's Hospital of Eastern Ontario and Ottawa Children's Treatment Centre. She works on national and provincial initiatives, advising on integrated care models. The focus of her research is on models of care coordination for children with complex chronic conditions.

The executive director of the Cochrane-Temiskaming Children's Treatment Centre in Timmins, ON. She is from Smooth Rock Falls in northern Ontario and has worked for close to 30 years in various domains related to persons with special needs who live in northern Ontario.

出版信息

Healthc Q. 2018 Jul;21(2):35-40. doi: 10.12927/hcq.2018.25624.

DOI:10.12927/hcq.2018.25624
PMID:30474590
Abstract

Children with medical complexity (CMC) in rural and northern communities have more difficulty accessing subspecialty health providers than those in urban centres. This article describes an alignment cascade in which leaders engaged peers and staff to rapidly roll out the implementation of a sustainably designed complex care model, integrated in the Champlain Complex Care Program and delivered in Timmins, Ontario. The Provincial Council for Maternal and Child Health's Complex Care for Kids Ontario (CCKO) strategy supports the implementation and expansion of a hub-and-spoke model of interprofessional complex care for CMC and their families. A nurse practitioner is the primary point of contact for the family and oversees coordination and integration of care; regional CCKO programs are committed to building capacity to provide safe, high-quality care for CMC in communities closer to their homes.

摘要

农村和北部社区患有复杂疾病的儿童(CMC)比城市中心的儿童更难获得专科医疗服务提供者的帮助。本文描述了一个协调级联过程,在此过程中,领导者促使同行和工作人员迅速推出并实施一个经过可持续设计的复杂护理模式,该模式已融入尚普兰复杂护理项目,并在安大略省蒂明斯市提供。省级母婴健康理事会的安大略省儿童复杂护理(CCKO)战略支持为CMC及其家庭实施和扩展跨专业复杂护理的中心辐射模式。执业护士是家庭的主要联系人,并负责监督护理的协调与整合;区域CCKO项目致力于建设能力,以便在离CMC家庭更近的社区为他们提供安全、高质量的护理。

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引用本文的文献

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Implementing a Care Coordination Strategy for Children with Medical Complexity in Ontario, Canada: A Process Evaluation.在加拿大安大略省为患有复杂疾病的儿童实施护理协调策略:一项过程评估
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2
Process Evaluation of a Hub-and-Spoke Model to Deliver Coordinated Care for Children with Medical Complexity across Ontario: Facilitators, Barriers and Lessons Learned.安大略省为医疗复杂性儿童提供协调护理的枢纽辐射式模式的实施评估:促进因素、障碍和经验教训。
Healthc Policy. 2021 Aug;17(1):104-122. doi: 10.12927/hcpol.2021.26574.
3
Parent Perspectives During Hospital Readmissions for Children With Medical Complexity: A Qualitative Study.
患有复杂疾病儿童再次入院期间家长的观点:一项定性研究。
Hosp Pediatr. 2020 Mar;10(3):222-229. doi: 10.1542/hpeds.2019-0185. Epub 2020 Feb 6.