[Aging Brain Care Program from Indianapolis: Transferability to the German healthcare system].
[Aging Brain Care Program from Indianapolis: Transferability to the German healthcare system].
复制标题
[印第安纳波利斯的老龄化大脑护理计划：向德国医疗保健系统的转移]。
DOI：
10.1007/s00391-015-0904-1
复制
发表时间：
2016
影响因子：
1.2
通讯作者：
Boustani,M
中科院分区：
文献类型：
--
作者：
Vollmar,HC;Thyrian,JR;LaMantia,MA;Alder,CA;GuerrieroAustrom,MM;Callahan,C;Leve,V;Hoffmann,W;Boustani,M
背景新的和创新的护理管理概念已经被开发出来，以改善患有痴呆症和抑郁症的老年人的健康。目的本文描述了美国老年脑护理（ABC）计划，并讨论了向德国医疗保健系统转移的可能性。材料和方法印第安纳波利斯的 ABC 医疗之家模式包括一个隶属于埃斯肯纳兹医院的专门老年保健中心以及一项由医护人员对受影响人群进行家庭访问的计划。诊断是在老年中心进行的，那里还计划了治疗和治疗。这些阶段是由多专业团队进行的，该团队确定患者和亲属的个人需求，并在家庭会议上以及与医院初级保健中心密切协商的情况下进行讨论。使用该项目自行开发的软件，通过医疗中心和国内就诊项目的预先确定的路径和程序说明来协调护理、诊断和治疗。 结果和结论从作者的角度来看，该项目的核心要素不仅包括使用家庭护理模式，还包括新型一线护理人员的选择和培训。像这里介绍的计划这样的模型显示出满足快速增长的弱势老年人口的需求的巨大前景。
BackgroundNew and innovative concepts of care management have been developed to improve the health of older adults with dementia and depression.AimThis article describes the American aging brain care (ABC) program and the possible transfer to the German healthcare system is discussed.Material and methodsThe ABC medical home model in Indianapolis incorporates a specialized geriatric heathcare center which is affiliated to the Eskenazi Hospital as well as a program involving home-based domestic visits by healthcare personnel to affected people. The diagnoses are made in the geriatric center where therapy and treatment are also planned. These stages are carried out in a multiprofessional team, which identifies the individual needs of the patients and relatives and discusses these in family conferences as well as in close consultation with the primary care center of the hospital. The care, diagnosis and therapy are coordinated using a self-developed software for the program and via predetermined pathways and procedural intructions on the approach in the healthcare center and in the domestic visit program.Results and conclusionFrom the perspective of the authors the core elements of the program include not only the use of a home-based care model but also the selection and training of a new type of front-line care provider. Models like the program presented here show great promise for meeting the demands of a rapidly expanding population of vulnerable older adults.