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慢性疾病照护模式及其对专科门诊照护的意义。

The Chronic Care Model and its implications for Specialized Outpatient Care.

机构信息

Universidade Estadual de Maringá. Maringá, Paraná, Brazil.

Universidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil.

出版信息

Rev Bras Enferm. 2022 Nov 28;76(1):e20210315. doi: 10.1590/0034-7167-2021-0315. eCollection 2022.

Abstract

OBJECTIVE

to assess the Chronic Care Model implementation in Specialized Outpatient Care and its repercussions for health care.

METHODS

qualitative evaluative research, conducted by the Chronic Care Model. We used observation techniques, document analysis and interviews with 21 health professionals from specialized care. Analysis was conducted by triangulation, with the aid of MAXQDA software for initial and focused coding. All ethical aspects were respected.

RESULTS

professionals recognized that the model reorganized service care and administrative practices, presenting positive repercussions for the health of people assisted. The absence of continuing education for service professionals compromised the complete model implementation.

FINAL CONSIDERATIONS

the implementation, even if partial, of the model brings contributions to service improvement. The weaknesses that are still present are compatible with professionals' difficulty in distancing themselves from the biomedical model.

摘要

目的

评估专科门诊护理中慢性病护理模式的实施及其对医疗保健的影响。

方法

定性评估研究,采用慢性病护理模式。我们使用观察技术、文件分析和对 21 名专科护理专业人员的访谈进行研究。分析采用三角分析法,借助 MAXQDA 软件进行初步和重点编码。所有伦理方面都得到了尊重。

结果

专业人员认识到该模式重组了服务护理和管理实践,对所服务人群的健康产生了积极影响。服务专业人员缺乏继续教育,影响了该模式的全面实施。

最终考虑

即使该模式部分实施,也为服务改进带来了贡献。目前仍存在的弱点与专业人员难以摆脱生物医学模式有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8482/9728810/4648e4d94b16/0034-7167-reben-76-01-e20210315-gf01.jpg

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