A Collaborative Approach to Improving Care Outcomes for Residents in Assisted Living.

A Collaborative Approach to Improving Care Outcomes for Residents in Assisted Living.
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DOI:
10.1177/23337214231222981
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发表时间:
2024-01
影响因子:
2.7
通讯作者:
Bhattacharyya, Kallol Kumar
Bhattacharyya, Kallol Kumar
中科院分区:
其他
文献类型:
--
作者:
Morgan, Jennifer Craft;Jason, Kendra J.;Kemp, Candace L.;Bhattacharyya, Kallol Kumar

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目的:辅助生活(AL)居民嵌入在“护理车队”组成的正式和非正式的护理合作伙伴的动态网络。使用车队的护理模式,一个多层次的框架连接护理车队属性居民的结果,我们研究了医疗保健管理和车队成员之间的沟通。我们建议的战略,从事初级保健,支持合作,沟通和建立共识的老年人和他们的车队。研究方法:数据收集的纵向研究,车队的护理:发展合作护理伙伴关系在AL。50名居民和他们的护理车队成员(N = 169)进行了为期2年的8个AL家庭在格鲁吉亚。原始数据采用定性数据的扎根理论方法进行分析,包括正式和非正式访谈,参与者观察和记录审查。结果如下:护理模式的车队提供了一个创新的视角,将有助于支持AL居民和他们的护理合作伙伴,以实现更好的护理结果提供者。研究结果表明,了解社会资源的结构和功能的效用和改善医疗结果的影响。结论:这项研究通过提供策略来揭示健康的特定社会决定因素,为AL患者的医生和中级提供者的工作提供信息。列举了在患者接触中使用的建议。
Purpose: Assisted Living (AL) residents are embedded in “care convoys” comprised of a dynamic network of formal and informal care partners. Using the convoys of care model—a multi-level framework connecting care convoy properties to resident outcomes—we examined healthcare management and communication between convoy members. We recommend strategies to engage primary care in supporting collaboration, communication, and consensus-building for older adults and their convoys. Methods: Data were collected from the longitudinal study, Convoys of Care: Developing Collaborative Care Partnerships in AL. Fifty residents and their care convoy members (N = 169) were followed in eight AL homes in Georgia over 2 years. Original data were analyzed using Grounded Theory Methods of qualitative data, including formal and informal interviewing, participant observation, and record review. Results: The convoys of care model provide an innovative perspective that will assist providers in supporting AL residents and their care partners to achieve better care outcomes. Findings demonstrate the utility of understanding the structure and function of social resources and implications for improving healthcare outcomes. Conclusion: This research informs the work of physicians and mid-level providers with patients in AL by providing strategies to uncover specific social determinants of health. Recommendations for use in patient encounters are enumerated.
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