《为智力和发展障碍成年人实施健康链接协调护理计划：跨部门试点计划》
Implementation of Health Links coordinated care plans for adults with intellectual and developmental disabilities: Cross-sectoral pilot program.
机构信息
Research Associate in the Department of Family Medicine at Queen's University in Kingston, Ont.
Assistant Professor in the Department of Family Medicine at Queen's University.
出版信息
Can Fam Physician. 2019 Apr;65(Suppl 1):S41-S46.
PROBLEM ADDRESSED
Adults with intellectual and developmental disabilities (IDD) are a complex population that could benefit from improved care coordination across health and social sectors, as they experience poorer health and have higher rates of emergency department use and hospitalization due to ambulatory care-sensitive conditions.
OBJECTIVE OF PROGRAM
To pilot a novel, enhanced model of care coordination for complex patients with IDD.
PROGRAM DESCRIPTION
Health Links is a provincial care-coordination program for patients with complex health care needs. This pilot program adapted Health Links to include a guide and training specific to adults with IDD to ensure that these patients' needs were met and high-quality, efficient care was provided.
CONCLUSION
A tailored care-coordination approach for adults with IDD was able to identify complex patients in need and successfully bridge cross-sectoral care.
问题
成年智障人士（IDD）是一个复杂的群体，他们可以从医疗和社会服务部门之间更好的协调中受益，因为他们的健康状况较差，由于可在门诊治疗的疾病而导致急诊部门使用率和住院率更高。
项目目标
为 IDD 患者试点一个新颖的、强化的护理协调模式。
项目描述
Health Links 是一个为有复杂医疗需求的患者提供的省级护理协调项目。该试点项目调整了 Health Links，纳入了专门针对成年 IDD 患者的指南和培训，以确保满足这些患者的需求并提供高质量、高效的护理。
结论
针对成年 IDD 患者的定制护理协调方法能够识别有需要的复杂患者，并成功实现跨部门护理衔接。
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