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协作式医疗是医学的未来吗?从患有结直肠疾病儿童的护理中吸取的经验教训。

Is Collaborative Care the Future of Medicine? Lessons Learned from the Care of Children with Colorectal Conditions.

作者信息

Choueiki Julie M, Sales Stephen, Callicott Susan, Ashman David, Worst Katherine, Badillo Andrea, Varda Briony K, Mayhew Allison, Xu Thomas O, Levitt Marc A

机构信息

Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, DC 20010, USA.

出版信息

Children (Basel). 2024 May 9;11(5):570. doi: 10.3390/children11050570.

DOI:10.3390/children11050570
PMID:38790565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11119695/
Abstract

The treatment of patients with colorectal disorders requires care from a wide variety of medical and surgical specialties over the course of their lifetime. This is ideally handled by a collaborative center which facilitates the assessment and development of patient care among multiple specialties which can enhance the quality and implementation of treatment plans, improve communication among different specialties, decrease morbidity, and improve patient satisfaction and outcomes. This collaborative approach can serve as a model for other parts of medicine requiring a similar multi-disciplinary and integrated method of care delivery. We describe the process, as well as the lessons learned in developing such a program.

摘要

结直肠疾病患者的治疗需要在其一生中接受来自各种医学和外科专科的护理。理想情况下,这应由一个协作中心来处理,该中心促进多个专科之间对患者护理的评估和发展,这可以提高治疗计划的质量和实施效果,改善不同专科之间的沟通,降低发病率,并提高患者满意度和治疗结果。这种协作方法可以作为医学其他需要类似多学科和综合护理提供方法的领域的一个模式。我们描述了开展这样一个项目的过程以及所吸取的经验教训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c069/11119695/8a6f56bd01c1/children-11-00570-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c069/11119695/8c5d8c7e9f73/children-11-00570-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c069/11119695/89996ba95a7e/children-11-00570-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c069/11119695/a81ee1c8834a/children-11-00570-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c069/11119695/6598414e4c94/children-11-00570-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c069/11119695/ad9d9f6351e3/children-11-00570-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c069/11119695/8a6f56bd01c1/children-11-00570-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c069/11119695/8c5d8c7e9f73/children-11-00570-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c069/11119695/89996ba95a7e/children-11-00570-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c069/11119695/a81ee1c8834a/children-11-00570-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c069/11119695/6598414e4c94/children-11-00570-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c069/11119695/ad9d9f6351e3/children-11-00570-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c069/11119695/8a6f56bd01c1/children-11-00570-g006.jpg

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本文引用的文献

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Transition From Pediatric to Adult Healthcare for Colorectal Conditions: A Systematic Review.从儿科到成人医疗保健的结直肠疾病的转变:系统评价。
J Pediatr Surg. 2024 Jun;59(6):1028-1036. doi: 10.1016/j.jpedsurg.2024.02.012. Epub 2024 Feb 23.
2
Antegrade Continence Enema Alone for the Management of Functional Constipation and Segmental Colonic Dysmotility (ACE-FC): A Pediatric Colorectal and Pelvic Learning Consortium Study.单纯经前灌肠治疗功能性便秘和节段性结肠动力障碍(ACE-FC):小儿肛肠和骨盆学习联盟研究。
Eur J Pediatr Surg. 2024 Oct;34(5):410-417. doi: 10.1055/a-2206-6508. Epub 2023 Nov 8.
3
State of the Art Bowel Management for Pediatric Colorectal Problems: Spinal Anomalies.
小儿结直肠问题的最新肠道管理:脊柱异常
Children (Basel). 2023 Sep 15;10(9):1558. doi: 10.3390/children10091558.
4
State of the Art Bowel Management for Pediatric Colorectal Problems: Hirschsprung Disease.小儿结直肠问题的最新肠道管理:先天性巨结肠症
Children (Basel). 2023 Aug 20;10(8):1418. doi: 10.3390/children10081418.
5
Transitional Care for Patients with Congenital Colorectal Diseases: An EUPSA Network Office, ERNICA, and eUROGEN Joint Venture.先天性肛肠疾病患者的过渡期护理:EUPSA 网络办公室、ERNICA 和 eUROGEN 的联合项目。
J Pediatr Surg. 2023 Dec;58(12):2319-2326. doi: 10.1016/j.jpedsurg.2023.06.008. Epub 2023 Jun 14.
6
Response to: Sparing the Perineal Body, A Modification of the Posterior Sagittal Anorectoplasty (PSARP) for Anorectal Malformations with Rectovestibular Fistulae.回应:保留会阴体——一种针对直肠前庭瘘型肛门直肠畸形的改良后矢状位肛门直肠成形术(PSARP)
Eur J Pediatr Surg. 2023 Aug;33(4):329. doi: 10.1055/s-0043-1770998. Epub 2023 Jul 6.
7
State of the Art Bowel Management for Pediatric Colorectal Problems: Functional Constipation.小儿结直肠问题的最新肠道管理:功能性便秘
Children (Basel). 2023 Jun 19;10(6):1078. doi: 10.3390/children10061078.
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State of the Art Bowel Management for Pediatric Colorectal Problems: Anorectal Malformations.小儿结直肠问题的最新肠道管理:肛门直肠畸形
Children (Basel). 2023 May 8;10(5):846. doi: 10.3390/children10050846.
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Reconstructing the anal sphincters to reverse iatrogenic overstretching following a pull-through for Hirschsprung disease. One-year outcomes.重建肛门括约肌以逆转先天性巨结肠经肛门拖出术后的医源性过度伸展。一年的结果。
J Pediatr Surg. 2023 Mar;58(3):484-489. doi: 10.1016/j.jpedsurg.2022.10.052. Epub 2022 Nov 7.
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Functional constipation refractory to medical management: The colon is the problem.药物治疗无效的功能性便秘:问题出在结肠。
J Pediatr Surg. 2023 Feb;58(2):246-250. doi: 10.1016/j.jpedsurg.2022.10.022. Epub 2022 Oct 21.