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本文引用的文献

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Capitated versus fee-for-service reimbursement and quality of care for chronic disease: a US cross-sectional analysis.按人头付费与按服务项目付费对慢性病的医疗质量的影响:美国的一项横断面分析
BMC Health Serv Res. 2022 Jan 4;22(1):19. doi: 10.1186/s12913-021-07313-3.
2
One year follow-up and exploratory analysis of a patient-centered interdisciplinary care intervention for multimorbidity.以患者为中心的多病症跨学科护理干预的一年随访及探索性分析
J Multimorb Comorb. 2021 Nov 17;11:26335565211039780. doi: 10.1177/26335565211039780. eCollection 2021 Jan-Dec.
3
Multidisciplinary rehabilitation for older people with hip fractures.老年人髋部骨折的多学科康复。
Cochrane Database Syst Rev. 2021 Nov 12;11(11):CD007125. doi: 10.1002/14651858.CD007125.pub3.
4
Feasibility of an intensive interprofessional lifestyle medicine program for patients with musculoskeletal conditions in the setting of lifestyle-related chronic disease.针对与生活方式相关的慢性病背景下的肌肉骨骼疾病患者,开展强化跨专业生活方式医学项目的可行性。
PM R. 2023 Jan;15(1):41-50. doi: 10.1002/pmrj.12728. Epub 2021 Dec 10.
5
Evaluating the implementation of interdisciplinary patient-centred care intervention for people with multimorbidity in primary care: a qualitative study.评价初级保健中多病共存患者接受跨学科以患者为中心的护理干预的实施情况:一项定性研究。
BMJ Open. 2021 Sep 24;11(9):e046914. doi: 10.1136/bmjopen-2020-046914.
6
Interdisciplinary Primary Care Team Expertise and Diabetes Care Management.跨学科初级保健团队专业知识和糖尿病护理管理。
J Am Board Fam Med. 2021 Jan-Feb;34(1):151-161. doi: 10.3122/jabfm.2021.01.200187.
7
Multidisciplinary Cardiac Rehabilitation and Long-Term Prognosis in Patients With Heart Failure.多学科心脏康复与心力衰竭患者的长期预后。
Circ Heart Fail. 2020 Oct;13(10):e006798. doi: 10.1161/CIRCHEARTFAILURE.119.006798. Epub 2020 Sep 28.
8
Building a Thriving Lifestyle Medicine Practice Within a Primary Care Clinic: A Model for Aspiring Lifestyle Medicine Practitioners.在基层医疗诊所建立蓬勃发展的生活方式医学业务:为有抱负的生活方式医学从业者提供的一种模式。
Am J Lifestyle Med. 2020 Feb 26;14(2):133-136. doi: 10.1177/1559827620904868. eCollection 2020 Mar-Apr.
9
Patients, caregivers and health-care professionals' experience with an interdisciplinary intervention for people with multimorbidity in primary care: A qualitative study.患者、照护者和医疗保健专业人员在初级保健中对多病症患者进行跨学科干预的体验:一项定性研究。
Health Expect. 2020 Apr;23(2):318-327. doi: 10.1111/hex.13035. Epub 2020 Feb 8.
10
Lifestyle Medicine: The Role of the Physical Therapist.生活方式医学:物理治疗师的角色
Perm J. 2020;24. doi: 10.7812/TPP/18.192. Epub 2019 Dec 30.

跨专业团队会议作为生活方式医学项目核心要素的提供者感知价值:对一个中心经验的混合方法分析

Provider-Perceived Value of Interprofessional Team Meetings as a Core Element of a Lifestyle Medicine Program: A Mixed-Methods Analysis of One Center's Experience.

作者信息

Cheng Abby L, Snider Elsa M, Prather Heidi, Dougherty Nikole L, Wilcher-Roberts Myisha, Hunt Devyani M

机构信息

Department of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, Washington University in St Louis School of Medicine, St Louis, MO, USA (ALC, DMH); Brown School Evaluation Center, Brown School at Washington University in St Louis, St Louis, MO, USA (EMS, NLD, MWR); Kirksville College of Osteopathic Medicine, A. T. Still University, Kirksville, MO, USA (EMS); Department of Physical Medicine and Rehabilitation, Weill Cornell Medical College, New York, NY, USA (HP).

出版信息

Am J Lifestyle Med. 2022 Oct 25;18(1):95-107. doi: 10.1177/15598276221135539. eCollection 2024 Jan-Feb.

DOI:10.1177/15598276221135539
PMID:39184267
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11339764/
Abstract

Interprofessional care improves outcomes for medically complex patients and may be a valuable addition to standard lifestyle medicine practice, but implementation barriers exist. The purpose of this study was to explore the key features, perceived impact, and implementation considerations related to holding interprofessional team meetings as part of an intensive lifestyle medicine program. In this mixed-methods study, focus groups were conducted with 15 lifestyle medicine clinicians from various healthcare disciplines who had participated in interprofessional team meetings. Quantitative descriptive statistics of the meeting minutes were also calculated. Clinician-perceived benefits from participating in interprofessional team meetings included increased acquisition of knowledge, access to other clinicians, collaborative decision-making, patient satisfaction, and achievement of patient-centered goals. Participants described the importance of preparing an agenda for the interprofessional team meetings in advance, but a major implementation challenge was the time required to prepare for and conduct the meetings. Commitment and financial support by organization and program leadership were reported as key facilitators to implementing the meetings. Clinicians perceive significant value from incorporation of interprofessional team meetings into an intensive lifestyle medicine program, but successful implementation of meetings requires investment from all levels within a healthcare system.

摘要

跨专业护理可改善病情复杂患者的治疗效果,可能是标准生活方式医学实践的一项宝贵补充,但存在实施障碍。本研究的目的是探讨作为强化生活方式医学项目一部分举行跨专业团队会议的关键特征、感知影响和实施考量因素。在这项混合方法研究中,对15名来自不同医疗保健学科、参加过跨专业团队会议的生活方式医学临床医生进行了焦点小组访谈。还对会议记录进行了定量描述性统计分析。临床医生认为参加跨专业团队会议的益处包括知识获取增加、与其他临床医生交流、共同决策、患者满意度以及实现以患者为中心的目标。参与者描述了提前为跨专业团队会议准备议程的重要性,但一个主要的实施挑战是准备和召开会议所需的时间。据报告,组织和项目领导层的承诺和资金支持是召开会议的关键推动因素。临床医生认为将跨专业团队会议纳入强化生活方式医学项目具有重大价值,但会议的成功实施需要医疗系统各级的投入。