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一种可复制且可持续的慢性疼痛全人护理模式。

A Replicable and Sustainable Whole Person Care Model for Chronic Pain.

作者信息

Hansen Kathryn A, McKernan Lindsey C, Carter Susan D, Allen Cynthia, Wolever Ruth Q

机构信息

1 Osher Center for Integrative Medicine at Vanderbilt, Nashville, Tennessee.

2 Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, Tennessee.

出版信息

J Altern Complement Med. 2019 Mar;25(S1):S86-S94. doi: 10.1089/acm.2018.0420.

Abstract

BACKGROUND

Integrative health is an expanding field that is increasingly called upon by conventional medicine to provide care for patients with chronic pain and disease. Although evidence has mounted for delivering integrative therapies individually, there is little consensus on how best to deliver these therapies in tandem as part of whole person care. While many models exist, few are financially sustainable.

METHODS AND RESULTS

This article describes a conceptual and logistical model for providing integrative outpatient health care within an academic medical center or hospital system to patients with chronic pain and disease. In hopes that the model will be replicated, administrative details are provided to explain how the model operates and has been maintained over nine years. The details include the intentional building of a particular work culture.

CONCLUSION

This whole person care model that addresses chronic pain and disease in an outpatient integrative clinic has been successful, sustainable and can be replicated in other academic medical centers or hospital clinics.

摘要

背景

综合健康是一个不断发展的领域,传统医学越来越多地要求其为慢性疼痛和疾病患者提供护理。尽管有越来越多的证据表明单独提供综合疗法是有效的,但对于如何作为全人护理的一部分最好地同时提供这些疗法,人们几乎没有达成共识。虽然存在许多模式,但很少有在经济上可持续的。

方法与结果

本文描述了一种在学术医疗中心或医院系统内为慢性疼痛和疾病患者提供综合门诊医疗服务的概念性和后勤模型。希望该模型能够被复制,文中提供了管理细节以解释该模型是如何运作以及在九年时间里是如何维持的。细节包括刻意营造一种特定的工作文化。

结论

这种在门诊综合诊所中解决慢性疼痛和疾病问题的全人护理模式已经取得成功,具有可持续性,并且可以在其他学术医疗中心或医院诊所中复制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80f5/6444891/e74929e72a73/fig-1.jpg

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