Milavec Kapun Marija, Drnovšek Rok, Rajkovič Vladislav, Rajkovič Uroš
Faculty of Health Sciences, University of Ljubljana, Zdravstvena Pot 5, 1000 Ljubljana, Slovenia.
University Medical Centre Ljubljana, Zaloška Cesta 2, 1000 Ljubljana, Slovenia.
Cent Eur J Oper Res. 2022 Oct 28:1-16. doi: 10.1007/s10100-022-00823-3.
Population ageing together with the greater prevalence of multimorbidity add to the need for and complexity of healthcare services. This makes it important to encourage and empower patients with chronic diseases to take care of themselves. An associated goal of such efforts is to significantly reduce the burden on healthcare systems and positively impact patients' health outcomes and quality of life. The paper presents a multi-criteria decision model for assessing the health and self-care of patients with chronic diseases in the home environment. The model is based on the DEX methodology and was tested on ten cases. The model assists with the timely recognition of relevant symptoms and signs in decision-making about health and self-care. It can be used to promote patients taking on an active role with respect to caring for their health and well-being. The model could be integrated into self-care processes. It might also serve as a basis for an interprofessional approach to supporting older patients with chronic diseases living as fully and independently as possible in the environment in which they feel most comfortable.
人口老龄化以及多重疾病的更高患病率增加了对医疗服务的需求和复杂性。这使得鼓励和赋能慢性病患者自我护理变得很重要。此类努力的一个相关目标是显著减轻医疗系统的负担，并对患者的健康结果和生活质量产生积极影响。本文提出了一种多标准决策模型，用于评估家庭环境中慢性病患者的健康状况和自我护理情况。该模型基于DEX方法，并在十个案例上进行了测试。该模型有助于在健康和自我护理决策中及时识别相关症状和体征。它可用于促进患者在照顾自己的健康和福祉方面发挥积极作用。该模型可以整合到自我护理过程中。它还可能作为一种跨专业方法的基础，以支持患有慢性病的老年患者在他们感到最舒适的环境中尽可能充分和独立地生活。
