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医疗服务提供者之间关于护理计划的跨部门沟通:一项范围综述

Intersectoral communication amongst healthcare providers regarding care plans: a scoping review.

作者信息

Langley Jodi, Jelicic Nikolas, Hill Taylor G, Kervin Emily, Pesut Barbara, Duggleby Wendy, Warner Grace

机构信息

Faculty of Health, Dalhousie University, 5968 College Street, Halifax, NS B3H 4R2, Canada.

School of Health and Human Performance, Dalhousie University, Halifax, NS, Canada.

出版信息

Palliat Care Soc Pract. 2022 Apr 21;16:26323524221092457. doi: 10.1177/26323524221092457. eCollection 2022.

Abstract

Palliative care has become an increasingly important public health issue due to the rising acceptance of implementing a health promoting palliative care approach. To explore communication pathways that would facilitate implementation of this approach, we conducted a scoping review examining communication and enactment of care plans for older adults with life-limiting illnesses across health, social and community sectors. We used a scoping review methodology to map the current literature on communication plans between primary care and other sectors (community, health, and social). Five databases were searched MEDLINE (ovid), CINAHL (EBSCO), EMBASE (Elsevier), PsychInfo (EBSCO), and Scopus. The database search identified 5,289 records, after screening and hand-searching a total of 28 articles were extracted. Three major themes were determined through the records: (1) the importance of professional relationships across sectors, (2) the importance of community navigators in sharing the care plan, and (3) and creating comprehensive and multidisciplinary care plans. Findings suggested that enacting quality care plans is important to healthcare providers; the use of an electronic health records system can be useful in ensuring that all healthcare and community systems are in place to aid patients for better community-based care. Community navigators were also key to ensure that plans are communicated properly and efficiently. Further research is needed to determine how having a clear and properly implemented communication system for a healthcare system could facilitate community sector involvement in implementing care plans.

摘要

由于越来越多的人接受促进健康的姑息治疗方法,姑息治疗已成为一个日益重要的公共卫生问题。为了探索有助于实施这种方法的沟通途径,我们进行了一项范围审查,研究了卫生、社会和社区部门中患有危及生命疾病的老年人护理计划的沟通与制定情况。我们使用范围审查方法来梳理当前关于初级保健与其他部门(社区、卫生和社会)之间沟通计划的文献。检索了五个数据库:MEDLINE(ovid)、CINAHL(EBSCO)、EMBASE(Elsevier)、PsychInfo(EBSCO)和Scopus。数据库检索识别出5289条记录,经过筛选和手工检索,共提取出28篇文章。通过这些记录确定了三个主要主题:(1)跨部门专业关系的重要性,(2)社区导航员在分享护理计划中的重要性,以及(3)制定全面的多学科护理计划。研究结果表明,制定高质量的护理计划对医疗服务提供者很重要;使用电子健康记录系统有助于确保所有医疗和社区系统都到位,以帮助患者获得更好的社区护理。社区导航员也是确保计划得到妥善和有效沟通的关键。需要进一步研究以确定,对于医疗系统而言,拥有一个清晰且实施得当的沟通系统如何能够促进社区部门参与护理计划的实施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7a9/9039456/808bbabc273c/10.1177_26323524221092457-fig1.jpg

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