Primary healthcare competencies needed in the management of person-centred integrated care for chronic illness and multimorbidity: Results of a scoping review.
Primary healthcare competencies needed in the management of person-centred integrated care for chronic illness and multimorbidity: Results of a scoping review.
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在以人为中心的慢性疾病和多种病症的以人为中心的综合护理中所需的主要医疗保健能力：范围审查的结果。
DOI：
10.1186/s12875-023-02050-4
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发表时间：
2023-04-12
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影响因子：
--
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中科院分区：
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慢性病管理在初级保健中很重要。疾病管理计划主要关注各自的疾病。多重疾病的发生和社会问题得到了有限程度的解决。以人为本的综合护理 (PC-IC) 是一种替代方法，将患者置于护理的中心。这要求参与 PC-IC 执行的医疗保健专业人员具备额外的能力。在本次范围界定审查中，我们研究了在协作团队中工作的医疗保健专业人员需要哪些能力，重点在于 PC-IC 的概念。我们还探讨了如何获得这些能力。检索了六个文献数据库和灰色文献，以查找有关初级保健中慢性病和多发病的指南和同行评审文章。我们进行了数据综合，从而概述了医疗保健专业人员提供 PC-IC 所需的能力。其中包括四项指南和 21 项研究，通过综合可以得出四项核心能力：1. 专业间沟通，2. 专业间协作团队合作，3. 领导力和 4. 以患者为中心的沟通。纳入的论文大多缺乏对 PC-IC 方法所需的知识、技能和态度方面的能力以及如何获得这些能力的明确描述。本次审查提供了有关在初级保健中提供 PC-IC 所需能力的见解。需要对这些能力的核心概念进行更深入的研究，这将有利于教育计划，以确保初级保健中的医疗保健专业人员能够更好地为慢性病和多种疾病患者提供 PC-IC。在线版本包含可在 10.1186/s12875-023-02050-4 获取的补充材料。
Chronic disease management is important in primary care. Disease management programmes focus primarily on the respective diseases. The occurrence of multimorbidity and social problems is addressed to a limited extent. Person-centred integrated care (PC-IC) is an alternative approach, putting the patient at the centre of care. This asks for additional competencies for healthcare professionals involved in the execution of PC-IC. In this scoping review we researched which competencies are necessary for healthcare professionals working in collaborative teams where the focus lies within the concept of PC-IC. We also explored how these competencies can be acquired. Six literature databases and grey literature were searched for guidelines and peer-reviewed articles on chronic illness and multimorbidity in primary care. A data synthesis was carried out resulting in an overview of the competencies that healthcare professionals need to deliver PC-IC. Four guidelines and 21 studies were included and four core competencies could be derived through the synthesis: 1. interprofessional communication, 2, interprofessional collaborative teamwork, 3. leadership and 4. patient-centred communication. Included papers mostly lack a clear description of the competencies in terms of knowledge, skills and attitudes which are necessary for a PC-IC approach and on how these competencies can be acquired. This review provides insight on competencies necessary to provide PC-IC within primary care. Research is needed in more depth on core concepts of these competencies which will then benefit educational programmes to ensure that healthcare professionals in primary care are better equipped to deliver PC-IC for patients with chronic illness and multimorbidity. The online version contains supplementary material available at 10.1186/s12875-023-02050-4.
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影响因子：
2.8
作者：
Berntsen G;Høyem A;Lettrem I;Ruland C;Rumpsfeld M;Gammon D
通讯作者：
Gammon D
影响因子：
5.5
作者：
Byrne, Amy-Louise;Hegney, Desley;Ferguson, Bridget
通讯作者：
Ferguson, Bridget
影响因子：
5.7
作者：
Dugdale, DC;Epstein, R;Pantilat, SZ
通讯作者：
Pantilat, SZ
影响因子：
4.7
作者：
Frank, Jason R.;Snell, Linda S.;Harris, Kenneth A.
通讯作者：
Harris, Kenneth A.
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影响因子：
2.9
作者：
van Dijk-de Vries A;Moser A;Mertens VC;van der Linden J;van der Weijden T;van Eijk JT
通讯作者：
van Eijk JT