Department of Family Medicine, School CAPHRI, Maastricht University, Maastricht, The Netherlands.
Institute of General Practice, Goethe University, Frankfurt, Germany.
Z Evid Fortbild Qual Gesundhwes. 2024 Sep;189:82-87. doi: 10.1016/j.zefq.2024.08.002. Epub 2024 Sep 3.
Many consultations in general practice concern patients with multimorbidity, pressuring our healthcare systems with complex care needs. The number of people affected from multimorbidity is still increasing, as is the average number of co-occurring diseases per patient. The resulting complexity of care needs cannot be managed by health professionals from a single discipline, but requires interprofessional collaborative practice. This paper describes best practices from the Netherlands to facilitate interprofessional caretaking of patients with multimorbidity in primary care. The focus here is on collaborations within general practice and at community level.
许多在一般实践中的咨询都涉及到患有多种疾病的患者,这给我们的医疗保健系统带来了复杂的护理需求。受多种疾病影响的人数仍在增加,每个患者同时患有的疾病数量也在增加。由此产生的护理需求的复杂性不能仅由单一学科的卫生专业人员来管理,而是需要跨专业的协作实践。本文描述了荷兰在初级保健中促进多疾病患者跨专业护理的最佳实践。重点是一般实践和社区层面的合作。