Department of Family and Community Health Nursing, School of Nursing, Virginia Commonwealth University, Richmond, VA.
Department of Pharmacotherapy and Outcomes Science, School of Pharmacy, Virginia Commonwealth University, Richmond, VA.
Nurs Outlook. 2021 May-Jun;69(3):322-332. doi: 10.1016/j.outlook.2020.09.007. Epub 2020 Nov 19.
BACKGROUND/PURPOSE: An innovative care coordination program was developed to enhance wellness among low-income older adults living in subsidized apartment buildings and to provide rich interprofessional education experiences for health professions students.
Program effectiveness for the residents was measured through an evaluation of participation, services used, and healthcare utilization. Educational effectiveness was measured through a change in health concepts and perceptions of interprofessional practice.
Health care utilization among participating residents showed an 8.6% reduction in emergency department visits and 9.8% reduction in hospital admissions. Students demonstrated improved knowledge in motivational interviewing (p = .02); diabetes (p = .02); hypertension (p≤.01); and frailty (p≤.01). Changes in students perception of interprofessional practice were significant in two areas; Teamwork and Collaboration (p≥.00); and Person Centeredness (p = .00).
This care coordination model may be an effective approach to reduce care resource utilization among medically complex lower income older adults and provides a rich interprofessional learning experience for students.
背景/目的:开发了一种创新的护理协调计划,以增强居住在补贴公寓楼中的低收入老年人体魄,并为医疗保健专业学生提供丰富的跨专业教育体验。
通过评估参与度、使用的服务和医疗保健利用情况,来衡量该计划对居民的有效性。教育效果通过健康观念和对跨专业实践的看法的变化来衡量。
参与居民的医疗保健利用情况显示,急诊就诊减少了 8.6%,住院人数减少了 9.8%。学生在动机性访谈(p=0.02)、糖尿病(p=0.02)、高血压(p≤0.01)和虚弱(p≤0.01)方面的知识有所提高。学生对跨专业实践的看法在两个方面发生了重大变化;团队合作和协作(p≥0.00);和以人为本(p=0.00)。
这种护理协调模式可能是一种减少医疗资源利用的有效方法,对复杂的低收入老年人群体具有重要意义,并为学生提供了丰富的跨专业学习体验。