卒中・心筋梗塞 Transition of Care 問題

transition :入院(入所)から、他の施設、外来、在宅への移行

定義は多くあるが、コンセンサスが必要。
だが、入院科医師から退院までの2つのコンポーネントにベネフィット効果関連エビデンスが少なく、システマティックレビューの所見に関しては十分なエビデンスがない。

Transition of Care for Acute Stroke and Myocardial Infarction Patients: From Hospitalization to Rehabilitation, Recovery, and Secondary Prevention
http://www.effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=821

pdf: http://www.effectivehealthcare.ahrq.gov/ehc/products/306/821/EvidReport-Transistions_20111031.pdf

”Transition of care intervention”の4つのカテゴリー
(1) hospital-initiated support for discharge was the initial stage in the transition of care process
(2) patient and family education interventions were started during hospitalization but were continued at the community level
(3) community-based models of support followed hospital discharge
(4) chronic disease management models of care assumed the responsibility for long-term care.

by internalmedicine | 2011-10-31 09:33 | 医療一般  

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