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Shared decision making and support for self-management: a rationale for change. 共同决策和支持自我管理:变革的理由。
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2-117
Nick Lewis-Barned

Shared decision making and support for self-management are among a range of approaches that have been developed over the last 20 years to fundamentally change the relationship between health professionals and patients. They have strong synergies and address the inequalities of the current relationship. They replace this with a partnership approach in which health professionals and patients work together to identify and enact decisions and plans that are jointly agreed on the basis of both medical evidence and what matters most to individuals. To do this effectively requires the development of new ways of working based on a culture of collaborative working, skills that support patients to think through and articulate preferences, and the development of systems and tools that make it easier to do this. There is already a body of practice that helps to identify what needs to be done and this practice now needs to be extended across the healthcare system.

共同决策和支持自我管理是过去 20 年中为从根本上改变医疗专业人员与患者之间的关系而开发的一系列方法之一。它们具有很强的协同作用,能够解决目前关系中的不平等问题。它们以合作的方式取而代之,在这种合作中,医疗专业人员和患者共同努力,根据医学证据和对个人而言最重要的事情,共同商定决策和计划,并将其付诸实施。要有效地做到这一点,就需要在合作文化的基础上发展新的工作方式,培养支持患者思考和表达偏好的技能,并开发系统和工具使其更容易做到这一点。目前已经有一套做法可以帮助确定需要做什么,现在需要将这套做法推广到整个医疗保健系统。
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引用次数: 0
Person-centred care. 以人为本的护理。
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2-85
John Oldham
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引用次数: 2
Stress and heart rate in high-fidelity training scenarios for undergraduate medical students. 医本科生高保真训练情境下的压力与心率
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s16
Hannah Dunton, Owain Leng, Jamie Catlow, John Hancock, Jane Metcalf
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引用次数: 0
The medical registrar's experience of acute medicine on call: an ethnographic study. 急症医疗随叫随到的医疗注册经验:一项民族志研究。
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s38
Emma Harker, Hannah Hesselgreaves, Brian Wood, Jan Illing
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引用次数: 0
Engaging, empowering and educating junior doctors in quality improvement (QI) to improve patient safety: a trust-wide junior doctor forum. 参与、授权和教育初级医生进行质量改进(QI),以提高患者安全:全信托机构初级医生论坛。
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s39
Sanjay Kumar, Anna Winfield, Robert Jackson, Gillian Pearce, Sarah Fiori, Richard Gibson
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引用次数: 0
Evaluation of a chronic obstructive pulmonary disease (COPD) telehealth programme to reduce healthcare utilisation in a Singapore tertiary healthcare institute. 评估新加坡某三级医疗机构旨在减少医疗保健利用的慢性阻塞性肺疾病(COPD)远程保健方案。
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s6
Wee Ming Peh, Augustine Tee, Yi Kang Ng, Wai Leng Chow
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引用次数: 0
Junior doctors and improving the quality of care for older people in hospital. 初级医生与提高住院老年人护理质量。
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2-103
James Fisher, James George

A number of recent high-profile reports have described sub-optimal care of older people in UK hospitals. Older people already form the bulk of hospital inpatient work and it is recognised that they often experience adverse events as a result of their hospitalisation. This, coupled with an ageing population, means there is great need to improve the quality of care for older hospitalised patients. In this article, we argue that junior doctors can, and should, play a central role in the process of improving the quality of care for older people in hospital. We describe a series of innovative, trainee-led projects that have sought to improve quality of care for hospitalised older people. Lastly, we explore how senior clinicians can support junior colleagues to make meaningful, sustainable change, with specific reference to induction processes, quality-improvement projects and role modelling.

最近一些备受关注的报告描述了英国医院对老年人的护理不够理想。老年人已经成为医院住院病人的主力军,而且人们认识到,他们在住院期间经常会发生不良事件。再加上人口老龄化,这意味着亟需提高老年住院病人的护理质量。在本文中,我们认为初级医生可以而且应该在提高老年人住院治疗质量的过程中发挥核心作用。我们介绍了一系列由实习生主导的创新项目,这些项目旨在提高住院老年人的护理质量。最后,我们探讨了资深临床医生如何支持资历较浅的同事进行有意义的、可持续的变革,并具体介绍了入职培训流程、质量改进项目和角色示范。
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引用次数: 0
The changing face of cardiology in the district general hospital: 'plumbing to electrics'. 地区综合医院心脏病学的变化:“从管道到电力”。
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s9
Clare Bannister, Lou Hobin, Michael Hickman
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引用次数: 0
An analysis of ambulatory emergency care (AEC) performance following participation by specialty consultants with general internal medical skills. 具有一般内科医疗技能的专科顾问参与后的门诊急诊(AEC)绩效分析。
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s25
Pradeep Mallisetty, Rayid Abdulqawi, Grainne Clarke, Dee Narga, Govindan Raghuraman, Rahul Mukherjee
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引用次数: 0
Comprehensive geriatric assessment in emergency Department by OPAL (Older People Assessment and Liaison) can prevent admissions. 通过OPAL(老年人评估和联络)在急诊科进行全面的老年评估可以预防住院。
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s26
Ray Keelan, Sally Briggs, Lauren Wentworth
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引用次数: 0
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