将初级保健纳入积极社区治疗。
Integrating Primary Care Into Assertive Community Treatment.
作者信息
Tse Jeanie, Cheng Jason E, Tabasky Edward, Kingman Emily, LaStella Drew, Quitangon Gertie, Woodlock David
机构信息
Institute for Community Living, New York City (Tse, Tabasky, Kingman, LaStella, Woodlock); Department of Psychiatry, New York University School of Medicine, New York City (Tse); Department of Psychiatry and Behavioral Sciences, Meharry Medical College, Nashville, Tennessee (Cheng); Department of Veterans Affairs New York Harbor, New York City (Quitangon).
出版信息
Psychiatr Serv. 2022 May;73(5):565-569. doi: 10.1176/appi.ps.202100069. Epub 2021 Sep 9.
OBJECTIVE
This program evaluation examined integration of primary care nurse practitioners into assertive community treatment (ACT).
METHODS
From January to June 2019, primary care nurse practitioners in a postgraduate fellowship program were assigned to five ACT teams (N=305 participants). Focus groups explored staff members' and participants' experiences. Screening rates for hemoglobin A1c and cholesterol for ACT participants were compared over time.
RESULTS
Staff and participants in ACT described improved engagement in primary care, citing benefit from colocation and consultation. Field visits were not found to be an efficient use of the primary care nurse practitioners' time to serve most ACT participants. A significant increase in screening was observed after 6 months for the ACT teams with integrated primary care.
CONCLUSIONS
An integrated primary care nurse practitioner readily available for participant engagement and consultation with the ACT team, using a cardiometabolic registry to guide care, may offer a sustainable model of integration.
目的
本项目评估考察了初级保健执业护士融入积极社区治疗（ACT）的情况。
方法
2019年1月至6月，将一个研究生 fellowship 项目中的初级保健执业护士分配到五个ACT团队（N = 305名参与者）。焦点小组探讨了工作人员和参与者的经历。对ACT参与者的糖化血红蛋白和胆固醇筛查率随时间进行了比较。
结果
ACT的工作人员和参与者表示，初级保健参与度有所提高，认为同地办公和咨询有益。实地考察未被发现是初级保健执业护士服务大多数ACT参与者的有效时间利用方式。对于整合了初级保健的ACT团队，6个月后筛查显著增加。
结论
有一名随时可参与并与ACT团队进行咨询的综合初级保健执业护士，利用心脏代谢登记册指导护理，可能提供一种可持续的整合模式。
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