British journal of community nursing · 2023
Value-based procurement in practice: individualised holistic prescribing for incontinence containment pads.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Evans Tracy
Аннотация
BACKGROUND: Poorly managed incontinence has many negative impacts on the health and wellbeing of care home residents and their carers. This can result from generic continence product prescriptions that are not tailored to individual need.
AIMS: A holistic product assessment tool was designed to embody the concept of value-based procurement, facilitate personalised prescriptions and overcome barriers created by the COVID-19 pandemic.
METHOD: In May and November 2021, residents with incontinence problems in six care homes underwent a holistic product assessment followed by personalised prescription of continence products. The impact was measured with a 5-month record audit and 5-day product trial before and after the intervention.
FINDINGS: The 44 residents included were largely dependent on carers for toileting. The product trial showed more personalised and varied product use resulting in fewer leakages and reduced average time for product changes. It also identified improved average carer satisfaction scores related to product quality, ease of removal, ease of application and avoidance of unnecessary moving. The record audit identified reductions in falls, hospital admissions and urinary tract infections.
CONCLUSION: Providing holistic, individualised assessments to prescribe continence products directly benefitted residents and services across multiple clinical, financial and quality-of-life outcomes.
AIMS: A holistic product assessment tool was designed to embody the concept of value-based procurement, facilitate personalised prescriptions and overcome barriers created by the COVID-19 pandemic.
METHOD: In May and November 2021, residents with incontinence problems in six care homes underwent a holistic product assessment followed by personalised prescription of continence products. The impact was measured with a 5-month record audit and 5-day product trial before and after the intervention.
FINDINGS: The 44 residents included were largely dependent on carers for toileting. The product trial showed more personalised and varied product use resulting in fewer leakages and reduced average time for product changes. It also identified improved average carer satisfaction scores related to product quality, ease of removal, ease of application and avoidance of unnecessary moving. The record audit identified reductions in falls, hospital admissions and urinary tract infections.
CONCLUSION: Providing holistic, individualised assessments to prescribe continence products directly benefitted residents and services across multiple clinical, financial and quality-of-life outcomes.