学习卫生系统方法实现COVID - 19长期护理。

Allison M Gustavson, Amanda Purnell, Marian Adly, Omar Awan, Norbert Bräu, Nicholas A Braus, Mon S Bryant, Lynn Chang, Cherina Cyborski, Babak Darvish, Larissa B Del Piero, Tammy L Eaton, Amelia Kiliveros, Heather Kloth, Eric R McNiel, Megan A Miller, Alana Patrick, Patrick Powers, Morgan Pyne, Idelka G Rodriguez, Jennifer Romesser, Brittany Rud, Ilana Seidel, Alexandria Tepper, Hanh Trinh, Brionn Tonkin, Johnson Vachachira, Hlee Yang, Joshua R Shak
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引用次数: 3

摘要

背景:缓解COVID-19传播的全球行动已将卫生系统的重点转移到管理长期出现COVID-19症状的患者。为了更好地满足患者、临床医生和系统的需求,学习型卫生系统方法可以使用快速循环方法整合数据和实际经验,以迭代评估和调整COVID - 19长期护理模型。观察:退伍军人健康管理局的雇员组成了一个多学科工作组。我们试图制定流程,以更多地了解这种新型长COVID综合征和创新的长COVID护理模式,这些模式可以在我们的医疗系统内外应用。我们描述了我们的工作组流程和目标,以创建跨机构沟通机制,确定护理和研究方面的差距,并共同创造关于长期COVID护理提供最佳实践的知识。结论:在COVID-19大流行之后,学习型卫生系统方法对于重塑卫生保健服务提供至关重要。
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A Learning Health System Approach to Long COVID Care.

Background: Global initiatives to mitigate COVID-19 transmission have shifted health system priorities to management of patients with prolonged long COVID symptoms. To better meet the needs of patients, clinicians, and systems, a learning health system approach can use rapid-cycle methods to integrate data and real-world experience to iteratively evaluate and adapt models of long COVID care.

Observations: Employees in the Veterans Health Administration formed a multidisciplinary workgroup. We sought to develop processes to learn more about this novel long COVID syndrome and innovative long COVID care models that can be applied within and outside of our health care system. We describe our workgroup processes and goals to create a mechanism for cross-facility communication, identify gaps in care and research, and cocreate knowledge on best practices for long COVID care delivery.

Conclusions: The learning health system approach will be critical in reimagining health care service delivery after the COVID-19 pandemic.

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Olfactory Hallucinations Following COVID-19 Vaccination. Oropharyngeal Squamous Cell Carcinoma Outcomes by p16INK4a Antigen Status in a Veteran Population. Outcomes in Patients With Curative Malignancies Receiving Filgrastim as Primary Prophylaxis. Contralateral Constrictor Dose Predicts Swallowing Function After Radiation for Head and Neck Cancer. Acute Painful Horner Syndrome as the First Presenting Sign of Carotid Artery Dissection.
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