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将精神关怀融入人口健康和照护管理之中:两个案例分析。

Integrating Spiritual Care in Population Health and Care Management: Two Case Examples.

作者信息

Valenti-Hein Charles

机构信息

Charles Valenti-Hein, MDiv, PhD, is part of the Ascension On Demand Spiritual Care Team. He is Board Certified by the Association of Professional Chaplains, and an ordained pastor in the Presbyterian Church, USA. He holds an MDiv from McCormick Theological Seminary in Chicago, Illinois, and a PhD in Systematic Theology from Marquette University in Milwaukee, Wisconsin.

出版信息

Prof Case Manag. 2022;27(5):229-238. doi: 10.1097/NCM.0000000000000564.

DOI:10.1097/NCM.0000000000000564
PMID:35901254
Abstract

PURPOSE/OBJECTIVES: The purpose of this case study is to describe the movement of spiritual care into outpatient, managed care and population health settings, as it has evolved in a major not-for-profit health care system in the United States. The objective is to begin to establish the effectiveness of integrating spiritual care as a part of the interdisciplinary team (IDT) in these contexts.

PRIMARY PRACTICE SETTINGS

The case study presents two practice settings: a remote patient monitoring program for patients with complex medical conditions, and integration into population health as a part of a Medicare Advantage Insurance program that is a cooperative venture between the health care system (Ascension) and an established insurance program (Centene).

FINDINGS/CONCLUSIONS: The cases presented suggest that the integration of spiritual care into the outpatient, managed care and population health contexts has a threefold benefit: enhancing patient care, increasing the effectiveness of the IDT, and providing for the care and support of the members of the IDTs themselves.

IMPLICATIONS FOR CASE MANAGEMENT PRACTICE

The cases presented suggest inclusion of spiritual care in the care management/population health approach to patient care is viable and valuable both for the benefit of the patient and the functioning of the care team.

摘要

目的/目标:本案例研究旨在描述精神关怀如何进入美国一家主要非营利性医疗保健系统的门诊、管理式医疗和人群健康环境,并阐述其演变过程。目标是开始确定在这些环境中,将精神关怀作为跨学科团队 (IDT) 的一部分进行整合的效果。

主要执业环境

本案例研究介绍了两个实践环境:一个是为患有复杂疾病的患者提供远程患者监测计划,另一个是将精神关怀融入人群健康,作为医疗保险优势计划的一部分,该计划是医疗保健系统(Ascension)与既定保险计划(Centene)之间的合作项目。

发现/结论:所提出的案例表明,将精神关怀整合到门诊、管理式医疗和人群健康环境中具有三重好处:增强患者护理、提高 IDT 的效率,并为 IDT 成员自身的护理和支持提供保障。

对案例管理实践的影响

所提出的案例表明,将精神关怀纳入护理管理/人群健康方法中,对患者护理和护理团队的运作都具有可行性和价值。这对患者和护理团队都有益处。

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