[在私人医疗保健提供者中实施综合心脏代谢实践单元的经验:基于价值的护理模式]。

Rubén Rojas, Nicolás Jaña, Carlos Arroyo, Patricia Palma, Gladys Alarcón, Luis Arriagada
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引用次数: 0

摘要

心血管疾病不仅是智利的一个健康问题,是第二大死亡原因,也给智利带来了沉重的经济负担。为了减少这些疾病对健康和经济的影响,我们决定在FUSAT临床医院建立一个心脏代谢综合实践单位(UPI)。与智利目前的医疗保健系统组织不同,UPI的结构贯穿于整个护理周期(从促进和预防到康复),由一个多学科团队(临床和行政)围绕密切相关的医疗条件或一系列健康状况组织起来。目的:本研究旨在描述在FUSAT临床医院构建心脏代谢综合实践单元(UPI)的过程。方法论:在这种情况下,Porter和Lee的文章被用作构建此UPI的基础。结果:在本文的基础上,定义了组织心脏代谢UPI的五个步骤:(1)患者选择,(2)基于护理需求的患者分层,(3)患者选择和护理,(4)沟通策略,(5)监测指标定义。结论:经过6个月的协同工作,我们成功地在FUSAT临床医院实施了UPI。这一成就表明,这种性质的项目可以通过明确的组织和治理、目标的战略定义和优先级,以及方法对当地现实的适应来执行。统一志愿指数的成功实施激发了人们对其对智利医疗保健的潜在影响的信心。
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[Experience in Implementing an Integrated Cardiometabolic Practice Unit in a Private Healthcare Provider: A Value-Based Care Model].

Cardiovascular diseases, in addition to being a health problem for Chile, ranking as the second leading cause of death, also impose a significant economic burden on the country. Aiming to reduce these diseases' health and economic impact, we decided to structure a Cardiometabolic Integrated Practice Unit (UPI) at the FUSAT Clinical Hospital. Unlike the current organization of healthcare systems in Chile, a UPI is structured throughout the entire cycle of care (from promotion and prevention to rehabilitation), with a multidisciplinary team (both clinical and administrative) organized around closely related medical conditions or a set of health conditions.

Aim: This study aims to describe the process of structuring a Cardiometabolic Integrated Practice Unit (UPI) at the FUSAT Clinical Hospital.

Methodology: In this case, Porter and Lee's article was used as a basis for structuring this UPI.

Results: Based on this article, five steps were defined to organize this Cardiometabolic UPI: (1) patient selection, (2) patient stratification based on care needs, (3) patient selection and care, (4) communication strategy, and (5) definition of monitoring indicators.

Conclusion: After 6 months of collaborative work, we successfully implemented the UPI at the FUSAT Clinical Hospital. This achievement demonstrates that projects of this nature can be carried out through a defined organization and governance, a strategic definition and prioritization of objectives, and an adaptation of the methodology to the local reality. The successful implementation of the UPI inspires confidence in its potential impact on healthcare in Chile.

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