跨学科护理团队在基于价值的肾脏护理中的影响:案例研究报告的启示。

IF 0.8 4区 医学 Q4 NURSING Nephrology Nursing Journal Pub Date : 2024-09-01
Molly L Cahill, Amber B Paulus
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引用次数: 0

摘要

基于价值的医疗(VBC)旨在通过从传统的收费服务模式向以患者为中心、以结果为导向的方法转变,从而提高患者的医疗效果,降低医疗成本。这一框架在肾脏病学领域尤为重要,慢性肾脏病(CKD)和肾脏病晚期相关的高成本促使人们采用新的护理模式。终末期肾病综合护理模式和肾脏护理选择计划等关键项目引入了多学科团队和早期 CKD 干预措施,以改善患者预后并降低成本。本文强调了跨学科合作在 VBC 中的重要作用,即注册护士、执业护士、药剂师、社会工作者、营养师和医生协调护理,以满足临床和非临床需求。案例研究表明,在药物管理、患者教育和解决健康的社会决定因素等方面的协调工作非常有效。这些实例强调了自愿性肾脏病治疗中心的潜力,即在解决医疗保健不公平问题和降低总体成本的同时,显著改善肾脏病患者的治疗效果。研究结果强调了早期干预、跨学科团队合作以及为慢性肾脏病患者提供有针对性的支持对取得 VBC 成果的重要性。
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The Impact of Interdisciplinary Care Teams in Value-Based Kidney Care: Insights from Case Study Reports.

Value-based care (VBC) aims to improve patient health outcomes relative to the cost of care by shifting from traditional fee-for-service models to patient-centered, outcome-driven approaches. This framework is particularly important in nephrology, where high costs associated with chronic kidney disease (CKD) and end stage kidney disease have prompted the adoption of new care models. Key programs such as the Comprehensive End-Stage Renal Disease Care Model and the Kidney Care Choices program have introduced multidisciplinary teams and early-stage CKD interventions to improve patient outcomes and reduce costs. This article highlights the essential role of interdisciplinary collaboration in VBC, with registered nurses, nurse practitioners, pharmacists, social workers, dietitians, and physicians coordinating care to address clinical and non-clinical needs. Case studies demonstrate the effectiveness of coordinated efforts in medication management, patient education, and addressing social determinants of health. These examples underscore the potential for VBC to significantly improve patient outcomes in kidney care while addressing health care inequities and reducing overall costs. Findings emphasize the importance of early interventions, interdisciplinary teamwork, and targeted support for patients with CKD in achieving VBC outcomes.

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来源期刊
Nephrology Nursing Journal
Nephrology Nursing Journal Medicine-General Medicine
CiteScore
0.70
自引率
22.20%
发文量
67
期刊介绍: The Nephrology Nursing Journal is a refereed clinical and scientific resource that provides current information on wide variety of subjects to facilitate the practice of professional nephrology nursing. Its purpose is to disseminate information on the latest advances in research, practice, and education to nephrology nurses to positively influence the quality of care they provide. The Nephrology Nursing Journal is designed to meet the educational and information needs of nephrology nurses in a variety of roles at all levels of practice. It also serves as a source for nonnephrology nurses. Its content expands the knowledge base for nephrology nurses, stimulates professional growth, guides research-based practice, presents new technological developments, and provides a forum for review of critical issues promoting the advancement of nephrology nursing practice.
期刊最新文献
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