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组织健康素养:新冠疫情后以患者为中心的医疗护理机遇

Organizational Health Literacy: Opportunities for Patient-Centered Care in the Wake of COVID-19.

作者信息

Sentell Tetine, Foss-Durant Anne, Patil Uday, Taira Deborah, Paasche-Orlow Michael K, Trinacty Connie Mah

机构信息

Office of Public Health Studies, University of Hawai'i at Mānoa, Honolulu, Hawaii (Dr Sentell and Mr Patil); Arizona State University Edson College of Nursing and Healthcare Innovations, Phoenix (Ms Foss-Durant); The Daniel K. Inouye College of Pharmacy, Hilo, Hawaii (Dr Taira); Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts (Dr Paasche-Orlow); and Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Dr Trinacty).

出版信息

Qual Manag Health Care. 2021;30(1):49-60. doi: 10.1097/QMH.0000000000000279.

Abstract

BACKGROUND AND OBJECTIVES

The coronavirus disease-2019 (COVID-19) pandemic is transforming the health care sector. As health care organizations move from crisis mobilization to a new landscape of health and social needs, organizational health literacy offers practical building blocks to provide high-quality, efficient, and meaningful care to patients and their families. Organizational health literacy is defined by the Institute of Medicine as "the degree to which an organization implements policies, practices, and systems that make it easier for people to navigate, understand, and use information and services to take care of their health."

METHODS

This article synthesizes insights from organizational health literacy in the context of current major health care challenges and toward the goal of innovation in patient-centered care. We first provide a brief overview of the origins and outlines of organizational health literacy research and practice. Second, using an established patient-centered innovation framework, we show how the existing work on organizational health literacy can offer a menu of effective, patient-centered innovative options for care delivery systems to improve systems and outcomes. Finally, we consider the high value of management focusing on organizational health literacy efforts, specifically for patients in health care transitions and in the rapid transformation of care into myriad distance modalities.

RESULTS

This article provides practical guidance for systems and informs decisions around resource allocation and organizational priorities to best meet the needs of patient populations even in the face of financial and workforce disruption.

CONCLUSIONS

Organizational health literacy principles and guidelines provide a road map for promoting patient-centered care even in this time of crisis, change, and transformation. Health system leaders seeking innovative approaches can have access to well-established tool kits, guiding models, and materials toward many organizational health literacy goals across treatment, diagnosis, prevention, education, research, and outreach.

摘要

背景与目标

2019年冠状病毒病(COVID-19)大流行正在改变医疗保健行业。随着医疗机构从危机动员转向满足新的健康和社会需求格局,组织健康素养为向患者及其家属提供高质量、高效且有意义的护理提供了切实可行的要素。医学研究所将组织健康素养定义为“一个组织实施政策、实践和系统的程度,这些政策、实践和系统使人们更易于获取、理解和使用信息及服务来维护自身健康”。

方法

本文综合了在当前主要医疗保健挑战背景下组织健康素养的见解,并朝着以患者为中心的护理创新目标进行阐述。我们首先简要概述组织健康素养研究与实践的起源和概况。其次,使用一个既定的以患者为中心的创新框架,展示现有的组织健康素养工作如何为护理提供系统提供一系列有效且以患者为中心的创新选项,以改善系统和护理结果。最后,我们认为管理层关注组织健康素养工作具有很高的价值,特别是对于处于医疗保健过渡阶段以及护理迅速转变为多种远程模式的患者。

结果

本文为系统提供了实用指导,并为围绕资源分配和组织优先事项的决策提供参考,以便即使在面临财务和劳动力干扰的情况下,也能最好地满足患者群体的需求。

结论

组织健康素养原则和指南为促进以患者为中心的护理提供了路线图,即使在这个危机、变革和转型时期也是如此。寻求创新方法的卫生系统领导者可以获取完善的工具包、指导模型以及实现跨治疗、诊断、预防、教育、研究和推广等诸多组织健康素养目标的材料。

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