Avtor/Urednik		Dolžan Lindič, Helena; Kramar, Zdenka
Naslov		Sodobna organizacijska oblika kakovostne obravnave pacienta je tudi case management
Prevedeni naslov		Contemporary organizational format quality of treatment the patient is also a case management
Tip		članek
Vir		245392384
Leto izdaje		2009
Obseg		str. 133E [5 str.]
Jezik		slv
Abstrakt		Za uspešnost celovitega zagotavljanja in stalnega izboljševanja kakovosti zdravstvene nege je treba preoblikovati sisteme zdravstvene nege tudi v obliko kot je koordiniranje, upravljanje in vodenje tipičnega primera oziroma case management. Upravljanje s primeri je pomembno sredstvo za zagotavljanje visoko kakovostne zdravstvene oskrbe, nizkih upravnih stroškov in doseganje dobrih rezultatov. To je pristop, ki se usmerja na samo koordinacijo, povezovanje in neposredno delitev bolnišničnih uslug. Tako vodenje poudarja nujnost zgodnjega ocenjevanja potreb, intervencij in splošnih negovalnih načrtov ter vključevanje tudi drugih sistemskih služb. Uvaja interni nadzor nad viri in sredstvi, ki se uporabljajo v obravnavi. Prvi kontakt z bolnišnico in sprejem, je za vsakega človeka velikokrat zelo stresen. Zato se delo mora organizirati tako, da bo imel pacient vedno občutek, da je cenjen in zaželen. Prav tako naj bi poskrbeli, da bo čim lažje opravil vse aktivnosti, ki so potrebne za izvedbo sprejema in posega. Vloga medicinske sestre se je s tem preoblikovala; postaja vse širša in vse bolj pomembna. Znati mora učinkovito komunicirati in skoordinirati delo v multi disciplinarnem timu. Zagotavlja kakovost in kontinuiteto zdravstvene nege in oskrbe. Paciente obvešča o točnem datumu, uri in mestu prihoda v bolnišnico. Preverja in ureja njihove dokumente in njihovo zdravstveno stanje pred sprejemom. Koordinira njihov sprejem in potek obravnave. Ves čas pa sodeluje tudi z ostalimi člani tima. Rešuje nastale probleme, pospešuje dogajanje. Izpostavlja pacientove potrebe po zdravstveni negi. Taka organizacija dela je bila uvedena na Dnevnem oddelku v Splošni bolnišnici na Jesenicah. Med paciente, ki so bili sprejeti in obravnavani na oddelku, smo razdelili anketni vprašalnik. Njihovi odgovori so pokazali, da je to prava pot v zdravstveni obravnavi. Pacienti, njihovi svojci kot tudi zdravstveno osebje so tak način dela izredno pozitivno sprejeli. Stališče pacienta, ki ga imenujemo zadovoljstvo, je najširše uporabljeno merilo za ugotavljanje izidov zdravstvene oskrbe, kot tudi merilo kakovosti v zdravstveni negi. Pacienti so s takim načinom dela bolje obveščeni. Zmanjšala sta se strah in negotovost zaradi pomanjkanja informacij o bolezni in postopkih zdravljenja. Naše delo postaja bolj vidno, ob tem pa sledimo svojim ciljem, viziji in poslanstvu.Global changes in modern societies represent a challenge for faster organizational changes to the employees and the companies. For the success of holistic and constant improvement in the quality of health care it is necessary to include new knowledge from different research projects and new values. Health care systems need to be reorganized and one such new form is case management. Case management is meant to coordinate or to manage a specific case. Such forms lead to higher efficiency and more succesful health care system. Case management is an important mean to achieve high quality health care and good results with low costs. It is an approach, which is focused on coordination, connection and direct sharing of hospital services. Importance of early assesment of needs, interventions and general health care plans is stressed. Internal control over sources and equipment is introduced. First contact with the hospital and admission to the ward is a stressful event for each patient. The work should be organized in the way to make the patient feel wanted and appreciated at every step. It is also necessary to make all the procedures, connected with the admission and surgical procedure as easy as possible. The role of the medical nurse/technician has therefore changed in order to make all this possible. It has become more demanding and important. The nurse/technician needs to know how to communicate properly and to coordinate work in a multidisciplinary team. She ensures the quality and continuity of health care. This means that the patient are informed in advance about the exact date, hour and place of arrival to the hospital. She shecks the patients' documents and their health status before the admission. She coordinates the admission and in the same moment cooperates with the other team members. She tries to find solutions to common problems, makes sure the procedures are not too slow. All the time she focuses on patient's needs for health care. This organisational structure has been introduced to the outpatient clinic in General hospital Jesenice. Patients, their relatives and medical staff have welcomed the new way of work. Patients have expressed their satisfaction in the questionnaire. Their answers have shown us that the right way has been chosen. Patients' satisfaction is the most widely used measurement for the quality in the health care. Patients get much better informed. Their fear and insecurity due to the lack of information about their disease and treatment procedures are reduced. Our work has become more visible, our vison, goals and dedication can be followed better.
Proste vsebinske oznake		koordinator tipičnega primera kakovostna obravnava pacientovo zadovoljstvo coordinator of the tipical case quality reading patient satisfaction