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Modelling resource requirements and physician staffing to provide virtual urgent medical care for residents of long-term care homes: a cross-sectional study

机译：建模资源需求和医生人员员工为长期护理房屋居民提供虚拟紧急医疗：横断面研究

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The coronavirus disease 2019 (COVID-19) outbreak increases the importance of strategies to enhance urgent medical care delivery in long-term care (LTC) facilities that could potentially reduce transfers to emergency departments. The study objective was to model resource requirements to deliver virtual urgent medical care in LTC facilities.

机译：2019年冠状病毒疾病（Covid-19）爆发增加了策略，以加强长期护理（LTC）设施中的紧急医疗交付，可能会减少转移到急诊部门。研究目标是为了在LTC设施中提供资源要求以提供虚拟紧急医疗。

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期刊名称 CMAJ Open
作者
Fahad Razak; Saeha Shin; Frances Pogacar; Hae Young Jung; Laura Pus; Andrea Moser; Lauren Lapointe-Shaw; Terence Tang; Janice L. Kwan; Adina Weinerman; Shail Rawal; Vladyslav Kushnir; Denise Mak; Danielle Martin; Kaveh G. Shojania; Sacha Bhatia; Payal Agarwal; Geetha Mukerji; Michael Fralick; Moira K. Kapral; Matthew Morgan; Brian Wong; Timothy C.Y. Chan; Amol A. Verma;
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年(卷),期 2020(8),3
年度 2020
页码 E514–E521
总页数 8
原文格式 PDF
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1. A.Martin1,N.Boyle2,J.Cooke3,S.P.Kennelly4,R.Martin5,M.Mulroy6,M.O’Connor7,S.O'Keeffe8,D.O’Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital,Dublin.2.St.Vincent’sUniversityHospital,Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital,Dublin.5.ConnollyHospital,Dublin.6.OurLadyofLourdesHospital,Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents in nursing home care have borne a disproprtionate morbidity and mortality in the COVID-19 pandemic in comparison to the general population. Although the high rate of infection, morbidity and mortality in older people living in nursing homes may be attributable to increased levels of frailty and comorbidity in residents, the physical infrastructure and governance structures within nursing homes is also likely to be highly significant. The authors present, on behalf of Irish Society of Physicians in Geriatric Medicine, a position paper on changes that should be implemented to enhance the safety and quality of care for nursing home residents in Ireland. IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1,asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage(3.7%)listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4%inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine(ISPGM)haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001,publishedintheIrishMedicalJournal3. [J] . Irish medical journal. . 2020,第9期

机译：A.Martin1，N.Boyle2，J.Cooke3，SPKennelly4，R.Martin5，M.Mulroy6，M.O'Connor7，S.O'Keeffe8，D.O'Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital，Dublin.2.St .Vincent'sUniversityHospital，Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital，Dublin.5.ConnollyHospital，Dublin.6.OurLadyofLourdesHospital，在家庭护理Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents已经结出一个disproprtionate发病率和死亡率在COVID-19大流行相比于普通人群。虽然感染，发病率和死亡率在生活在养老院的老年人率高可能是由于增加了居民的脆弱性和合并症的水平，养老院内的物理基础设施和治理结构，也可能是非常显著。作者提出，对应该实施，加强安全和医疗质量养老院在爱尔兰的变化代表在老年医学，意见书医生的爱尔兰社会。 IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1，asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage（3.7％）listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4％inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine（ISPGM）haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001，publishedintheIrishMedicalJournal3。
2. P-293: Comparing symptom ratings by staff and family carers in residents dying in long-term care facilities in three European countries, results from the PACE cross-sectional study [J] . Marc Tanghe, Nele Van Den Noortgate, Luc Deliens, European geriatric medicine. . 2019,第Suppla1期

机译：P-293：将症状评级与居民在三个欧洲国家长期护理设施中死亡的居民中的症状评级进行比较，速度横断面研究结果
3. Do care homes deliver person-centred care? A cross-sectional survey of staff-reported abusive and positive behaviours towards residents from the MARQUE (Managing Agitation and Raising Quality of Life) English national care home survey [J] . Cooper Claudia, Marston Louise, Barber Julie, Journal of land use science . 2018,第1a3期

机译：护理家庭提供以人为本的护理吗？员工报告的滥用和积极行为的横断面调查，从马赛克（管理激动和提高生活质量）英语国家护理家庭调查
4. Analysis of Clinical Variations in Asthma Care Documented in Electronic Health Records Between Staff and Resident Physicians [C] . Sunghwan Sohn, Chung-Il Wi, Young J Juhn, MEDINFO . 2017

机译：员工及居民医师电子健康记录中哮喘护理临床变异分析
5. Providers' Knowledge of the U.S. Health Care System and their Medical Practice Choices: A Study of Physicians, Residents, and Non-Physician Practitioners. [D] . Case, Cora L. 2015

机译：提供者对美国医疗保健系统及其医疗实践选择的了解：医师，住院医师和非医师从业人员的研究。
6. Do care homes deliver person-centred care? A cross-sectional survey of staff-reported abusive and positive behaviours towards residents from the MARQUE (Managing Agitation and Raising Quality of Life) English national care home survey [O] . Claudia Cooper, Louise Marston, Julie Barber, -1

机译：养老院是否提供以人为本的护理？一项横断面调查该调查是通过MARQUE（管理躁动和提高生活质量）英国国家养老院调查对工作人员报告的对居民的虐待和正面行为
7. Modelling resource requirements and physician staffing to provide virtual urgent medical care for residents of long-term care homes: a cross-sectional study [O] . Fahad Razak, Saeha Shin, Frances Pogacar, 2020

机译：建模资源需求和医生人员员工为长期护理房屋居民提供虚拟紧急医疗：横断面研究
8. Arrangements for Physician Services to Residents in Nursing and Personal Care Homes, United States, May-June 1964 [R] . Solon, J. A. , Nelson, A. B. 1970

机译：1964年5月至6月在美国护理和个人护理院为居民提供医师服务安排

Modelling resource requirements and physician staffing to provide virtual urgent medical care for residents of long-term care homes: a cross-sectional study

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