Müller-Mundt G, Schulz B, Höhmann U
Agnes Karll Institut für Pflegeforschung/DBfK, Eschborn.
Z Arztl Fortbild Qualitatssich. 1998 Aug;92(6):393-9.
Due to the demographic shift, increasing care needs of elderly and chronically ill people have growing impact on the health care services. With complex needs to meet, the quality of life of patients depends on multiple factors, of which the continuity of care plays an important role. Integrated care requires the exchange of information and close coordination on the concept of care between all participants in the care process. Yet, collaborative care is often seriously jeopardized by lack of knowledge about the concepts, scope of action and requests of the involved health professionals and services. Information on the past and present health state and on self care resources are prerequisites for adequate rehabilitation efforts that are patient-oriented and of high quality. To make sure that interventions promote or stabilize the quality of life, the participation of the client is inevitable in all stages of the process of care planning and coordination. The results of a research project concerning cooperative quality improvement carried out at the Agnes Karll Institute for Nursing Research stress these assumptions.
由于人口结构的转变，老年人和慢性病患者日益增长的护理需求对医疗服务的影响越来越大。由于需要满足复杂的需求，患者的生活质量取决于多个因素，其中护理的连续性起着重要作用。综合护理要求护理过程中的所有参与者就护理概念进行信息交流和密切协调。然而，协作护理常常因缺乏对相关卫生专业人员和服务的概念、行动范围及要求的了解而受到严重损害。关于过去和当前健康状况以及自我护理资源的信息是以患者为导向的高质量康复努力的先决条件。为确保干预措施能促进或稳定生活质量，在护理计划和协调过程的所有阶段，服务对象的参与都是必不可少的。阿格尼斯·卡尔护理研究所开展的一项关于合作质量改进的研究项目结果强调了这些假设。
