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以患者为中心的医疗之家与共置:从学术家庭医学诊所的观察和见解。

Patient-Centered Medical Home With Colocation: Observations and Insights From an Academic Family Medicine Clinic.

机构信息

Mayo Clinic, Jacksonville, FL, USA.

出版信息

J Prim Care Community Health. 2020 Jan-Dec;11:2150132720902560. doi: 10.1177/2150132720902560.

Abstract

There is a movement in the United States to transform family medicine practices from single physician-based patient care to team-based care. These teams are usually composed of multiple disciplines, including social workers, pharmacists, registered nurses, physician assistants, nurse practitioners, and physicians. The teams support patients and their families, provide holistic care to patients of all ages, and allow their members to work to the highest level of their training in an integrated fashion. Grouping care team members together within visual and auditory distance of each other is likely to enhance communication and teamwork, resulting in more efficient care for patients. This grouping is termed colocation. The authors describe how the use of colocation can lead to clearer, faster communication between care team members. This practice style has the potential to be expanded into various clinical settings in any given health system and to almost all clinical specialties and practices.

摘要

美国正在推动将家庭医疗实践从以单个医生为基础的患者护理转变为以团队为基础的护理。这些团队通常由多个学科组成,包括社会工作者、药剂师、注册护士、医师助理、执业护士和医生。这些团队为患者及其家属提供支持,为各个年龄段的患者提供全面护理,并允许其成员以整合的方式充分发挥他们的培训水平。将护理团队成员分组,使他们在视觉和听觉上彼此接近,可能会增强沟通和团队合作,从而为患者提供更高效的护理。这种分组方式被称为共置。作者描述了共置如何导致护理团队成员之间更清晰、更快的沟通。这种实践方式有可能扩展到任何给定卫生系统的各种临床环境以及几乎所有临床专业和实践中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52ea/6990603/203d5b1afca9/10.1177_2150132720902560-fig1.jpg

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