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促进慢性病患者的护理质量,从理论到实践:在 JA CHRODIS PLUS 中使用 JA CHRODIS 建议和质量标准制定疾病预防和护理方面的良好实践。

Fostering the Quality of Care for People with Chronic Diseases, from Theory to Practice: The Development of Good Practices in Disease Prevention and Care in JA CHRODIS PLUS Using JA CHRODIS Recommendations and Quality Criteria.

机构信息

National Institute of Public Health Slovenia, Trubarjeva 2, 1000 Ljubljana, Slovenia.

National Institute of Health, Viale Regina Elena 299, 00161 Rome, Italy.

出版信息

Int J Environ Res Public Health. 2020 Feb 4;17(3):951. doi: 10.3390/ijerph17030951.

Abstract

In the frame of joint action in chronic diseases (JA CHRODIS), an extensive process at the European Union level was carried out to identify a core set of quality criteria and to formulate recommendations that improved prevention, early detection, and quality of care for people with chronic diseases. Diabetes was used as a model disease. The core set of quality criteria may be applied to develop and improve practices, programs, strategies, and policies in various domains (e.g., prevention, care, health promotion, education, and training). The quality criteria are general enough to be applied in countries with different political, administrative, social, and health care organizations. Moreover, they can be applied to a number of other chronic diseases. JA CHRODIS recommendations and quality criteria are being tested in a series of pilot actions within the JA CHRODIS PLUS. A total of 15 partners representing nine European countries worked together to implement pilot actions and generate practical lessons that could contribute to the further uptake and use of JA CHRODIS recommendations. Special emphasis is given to meaningful patient involvement in co-designing the pilot actions and to the sustainability and scalability of the pilot actions. These insights were found to be at the core of the learning from pilot actions to foster high quality care for people with chronic diseases.

摘要

在慢性病联合行动(JA CHRODIS)框架内,欧盟层面开展了广泛的工作,以确定一套核心质量标准,并制定相关建议,从而改善慢性病患者的预防、早期发现和护理质量。糖尿病被用作示范疾病。该核心质量标准集可用于制定和改进各种领域(如预防、护理、健康促进、教育和培训)的实践、计划、战略和政策。这些质量标准具有足够的通用性,可适用于具有不同政治、行政、社会和医疗保健组织的国家。此外,它们还可适用于许多其他慢性病。JA CHRODIS 的建议和质量标准正在 JA CHRODIS PLUS 的一系列试点行动中进行测试。共有 15 个来自 9 个欧洲国家的合作伙伴共同努力实施试点行动,并总结出实际经验,这有助于进一步采纳和使用 JA CHRODIS 的建议。特别强调患者有意义地参与试点行动的共同设计,以及试点行动的可持续性和可扩展性。这些见解是从试点行动中学习以促进慢性病患者获得高质量护理的核心。

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