PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 13677789

[Care management unit. What do professionals think about its implementation?].

José Rodríguez-Bello·Antonia López-Sánchez·Manuel Martínez-Mora·Manuel Balsera-Balsera·Carmen Gómez-Fernández·Carmen Jiménez-Zarco·Juan Muñoz Alba·Inmaculada Sánchez-Ferragut
View original source ↗Export metadata ↓

Abstract

Clinical management in nursing requires structural changes. In order for the creation of Management Units for Treatment of Patients to be successful, a predisposition is necessary as well as the need for professionals to assume the role of a participant in this innovation. It is obligatory to carry out an investigative process prior to putting this change into effect. In our study, we ran a two phase investigation: in the first phase, brainstorming was the method employed, with a subsequent process during which ideas were grouped together according to their common traits; in the second phase, a nominal group technique was used. Four groups each having a different profile for the four segments to be analyzed were set up. There were 39 participants. Samples selection was carried out in a non-probabilistic systematic manner, by means of key informants. The results indicated there is a high interest level in this topic, as well as controversy. There is a variety in expectations and information is abundant, prioritized and classified.

Explore related subjects

Hospital UnitsPatient Care ManagementSpainEnglish AbstractJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

José Rodríguez-Bello, Antonia López-Sánchez, Manuel Martínez-Mora, Manuel Balsera-Balsera, Carmen Gómez-Fernández, Carmen Jiménez-Zarco, Juan Muñoz Alba, Inmaculada Sánchez-Ferragut. 2002. [Care management unit. What do professionals think about its implementation?].. https://pubmed.ncbi.nlm.nih.gov/13677789/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2006

Specialized stroke services: a meta-analysis comparing three models of care.

BACKGROUND: Using previously published data, the purpose of this study was to identify and discriminate between three different forms of inpatient stroke care based on timing and duration of treatment and to compare the results of clinically important outcomes. METHODS: Randomized controlled trials, including a recent review of inpatient stroke unit/rehabilitation care, were identified and grouped into three models of care as follows: (a) acute stroke unit care (patients admitted within 36 h of stroke onset and remaining for up to 2 weeks; n = 5), (b) units combining acute and rehabilitative care (combined; n = 4), and (c) rehabilitation units where patients were transferred onto the service approximately 2 weeks following stroke (post-acute; n = 5). Pooled analyses for the outcomes of mortality, combined death and dependency and length of hospital stay were calculated for each model of care, compared to conventional care. RESULTS: All three models of care were associated with significant reductions in the odds of combined death and dependency; however, acute stroke units were not associated with significant reductions in mortality when this outcome was analyzed separately (OR 0.80; 95% CI: 0.61-1.03). Post-acute stroke units were associated with the greatest reduction in the odds of mortality (OR 0.60; 95% CI: 0.44-0.81). Significant reductions in length of hospital stay were associated with combined stroke units only (weighted mean difference -14 days; 95% CI: -27 to -2). CONCLUSIONS: Overall, specialized stroke services were associated with significant reductions in mortality, death and dependency and length of hospital stay although not every model of care was associated with equal benefit.

Hospital Units↗
PubMed2006

What is the role of pancreas units today?

The study of pancreatic diseases requires specific knowledge and experience. There are many reasons for the need of a specific approach: pancreatic diseases are rare, their clinical presentation is often misleading, diagnostic investigations pose many challenges and pancreatic surgery is very complex. Due to these characteristics, it is difficult for a physician who only occasionally deals with a pancreatic disease to correctly manage it. For example, it is not sufficient to make a diagnosis of "pancreatic tumor", because we have to precisely define its extension and its relationship with the surrounding vessels, to recognize rare histological types different from adenocarcinoma, to have a "pancreatic" surgical experience to lessen the risk of serious surgical complications. On the other hand, several reports have shown that pancreatic resections have lower mortality rates and better long-term outcomes if carried out in Centers with a high caseload of patients. These considerations support the creation of Pancreas Units, not mere high-volume Departments specialized in pancreatic diseases, but multidisciplinary teams (composed of surgeons, oncologists, gastroenterologists, pathologists, radiologists, radiotherapists and different types of researchers) devoted to all aspects (etiology, pathogenesis, diagnosis, treatment) of pancreatic diseases. We think that the adoption of a Pancreas Unit model could represent the right answer to the recent changes observed in Medicine and could offer a better approach to patients with pancreatic diseases.

Hospital Units↗