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“故事始于‘阿罗哈……’” 皇后医疗中心项目患者导航员的故事。

"It starts with 'Aloha…'" Stories by the Patient Navigators of Program at The Queen's Medical Center.

作者信息

Nishizaki Laura Kau'ionlani, Negrillo Anthony Hereari'i, Ho'opai Jonna Minky, Naniole Robert, Hanake'awe Damien, Pu'ou Kehau

机构信息

The Queen's Health Systems, Honolulu, HI (LKN).

The Queen's Medical Center, Honolulu, HI (AHN, JMH, RN, DH, KP).

出版信息

Hawaii J Med Public Health. 2019 Jun;78(6 Suppl 1):90-97.

Abstract

The (KKN) navigators were first hired in 2016 at The Queen's Medical Center (QMC) in Honolulu, Hawai'i, with a focus on reducing hospital readmissions for socially and economically vulnerable Native Hawaiian adults. To our knowledge, QMC was the first acute care hospital in the state to implement the use of community health workers into the health care system as navigators for patient needs in the community following discharge. This article tells the story of our experiences as the 5 patient navigators from the Native Hawaiian community during the first 2 years of the program. The article describes how we ended up in this vocation and a summary of what we have learned. We also describe walking with our patients through their journey of healing, a journey which begins at the bedside during hospitalization starting with the moment we say, "Aloha." (A companion article in this issue describes the KKN program history, design, and clinical outcomes in more detail.) We hope these stories are inspirational to others who fill the community health worker role and may walk in our shoes in other health care organizations and/or help support the planning and implementation of similar programs to meet other communities' health needs. We consider the implications for community-clinical linkages.

摘要

“卡胡纳库拉纳导航员”(KKN)于2016年首次受雇于夏威夷檀香山的女王医疗中心(QMC),重点是减少社会和经济上弱势的夏威夷原住民成年人的医院再入院率。据我们所知,QMC是该州第一家将社区卫生工作者作为出院后社区患者需求导航员纳入医疗保健系统的急症护理医院。本文讲述了我们这5名来自夏威夷原住民社区的患者导航员在该项目头两年的经历。文章描述了我们如何走上这个职业道路以及我们所学到的内容总结。我们还描述了陪伴患者走过他们的康复之旅,这段旅程始于住院期间的床边,从我们说“阿罗哈”的那一刻开始。(本期的一篇配套文章更详细地描述了KKN项目的历史、设计和临床结果。)我们希望这些故事能激励其他担任社区卫生工作者角色的人,他们可能会在其他医疗保健组织中扮演我们的角色,和/或帮助支持类似项目的规划和实施,以满足其他社区的健康需求。我们考虑了社区与临床联系的影响。

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本文引用的文献

1
Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders.
Ann Hum Biol. 2018 May;45(3):249-263. doi: 10.1080/03014460.2018.1465593. Epub 2018 May 29.
4
Native Hawaiians and psychology: the cultural and historical context of indigenous ways of knowing.
Cultur Divers Ethnic Minor Psychol. 2009 Oct;15(4):374-87. doi: 10.1037/a0016774.

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