构建慢性肾脏病患者护理流程的逻辑模型。
Construction of a logical model of the line of care for people with chronic kidney disease.
机构信息
Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Programa de Pós-Graduação em Saúde Pública. Ribeirão Preto, SP, Brasil.
Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Departamento de Medicina Social. Ribeirão Preto, SP, Brasil.
出版信息
Rev Saude Publica. 2023 Apr 14;57:14. doi: 10.11606/s1518-8787.2023057004401. eCollection 2023.
OBJECTIVE
To build and validate a logical model of the line of care for people with chronic kidney disease.
METHODS
This is a descriptive study with a qualitative approach, with documentary research and analysis of primary data collected in interviews with key informants, carried out from May to September 2019, in the Guarani Aquifer Health Region, belonging to the Regional Health Department 13. Based on the theoretical framework proposed by McLaughlin and Jordan, five stages were followed: collection of relevant information; description of the problem and context; defining the elements of the logical model; construction and validation.
RESULTS
The logical model was organized into three care dimensions - primary health care, specialized care and high complexity care - composed of structure, process and result components.
CONCLUSION
The constructed logical model has the potential to contribute to the assessment of the line of care for people with chronic kidney disease, in order to achieve better results in the management of this disease, something that favors both the patient and the health system.
目的
构建并验证慢性肾脏病患者照护流程的逻辑模型。
方法
这是一项描述性研究，采用定性方法，通过文献研究和对关键信息提供者访谈中收集的原始数据进行分析，于 2019 年 5 月至 9 月在 13 区域卫生局所属的瓜拉尼含水层健康区域进行。基于 McLaughlin 和 Jordan 提出的理论框架，共经历五个阶段：相关信息的收集、问题和背景的描述、逻辑模型要素的定义、构建和验证。
结果
逻辑模型分为三个护理维度——初级卫生保健、专科保健和高复杂性保健——由结构、过程和结果三个组成部分构成。
结论
构建的逻辑模型有可能有助于评估慢性肾脏病患者的照护流程，以在该疾病的管理中取得更好的结果，这既有利于患者，也有利于卫生系统。
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