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"The concept of prevention must be relearned" from the largest home care organization in the Netherlands, foreseeing the future care model 3 key At the beginning of 2020, when the impact of the epidemic was still unclear in the Netherlands, Buurtzorg, the country's largest home care organization, developed its response measures earlier than the government. What's special is that this process is promoted from the bottom up, not called by the leaders of the organization, but by the front-line caregivers in the service households who propose adjustments to the care model that emphasizes safety. How did it all start and go? And how to efficiently exchange information with caregivers in different regions? In this article, we will introduce them to you one by one. Proactively respond to the outbreak of the epidemic, and advance deployment from the bottom up Buurtzorg started with the founder, Mr. Jos de Blok (Jos de Blok) and his partners with a total of 4 people. Up to now, there are more than 10,000 front-line caregivers, serving in more than 900 communities. Currently the largest neighborhood care organization in the Netherlands. Bozuk has many practices in elderly care that are different from the existing industries. With "empowerment and rejuvenation" as the core, the goal is to help the care recipients live independently. There is no hierarchical management hierarchy in the organization, and the front-line caregivers dynamically and instantly assess the needs of the care recipients and integrate medical, nursing, and community resources for them. A culture of empowering frontline workers is one of the keys to organizations being able to respond faster than governments Bozuk's "Crisis Response Team" was born against the background of the epidemic. Originally, the organization operated efficiently in a "decentralized" manner. As the epidemic in the Netherlands heated up, Bozuk's front-line caregivers began to actively share the current situation of the epidemic, coping methods and care information on the internal platform, so that the best Practices can communicate with each other in real time. Team members come from experts in various fields within the organization, and some are senior nurses with experience in infection control, epidemiological scholars, IT personnel, etc., who are on call around the clock to respond immediately and support partners scattered in various community services. "The crisis response team is not the headquarters of the command, but a platform for communication within the team. The front-line personnel report the situation they encounter and share their experience. We can discuss and refer to expert opinions, and provide the resources and solutions needed by the front-line personnel. ” said Gertje van Roessel, International Director of Buurtzorg. Take control early and relearn the "prevention" mindset "Our idea is to 'get it under control' rather than waiting for it to deteriorate," shared Mr. Blok, founder of Buurtzorg. If a nursing staff is infected, it will be easy to infect others. Bozuk's team grasps the principle of "risk reduction" and actively discusses with the family members, including which nursing matters should be done by the nursing staff and which family members will do it, and communicate with them. Family members work together to take care of each other at different times to reduce unnecessary contact. Nursing staff set up a diversion mechanism, and specific nursing staff will take care of specific patients without cross-care. Hospital at home program with telemedicine technology to stratify care In recent years, Bozuk's team has been thinking about which medical services can be provided at home, such as chemotherapy, etc., which can be performed at home with the support of nursing staff. In the past few years, Bozuk has established a cooperative project with the hospital, allowing patients to perform some medical behaviors at home through small-scale testing, and with the assistance of nursing staff, telemedicine can be performed without having to travel to a large hospital. This is the core meaning of Hospital at home. In response to issues such as the shortage of nursing manpower in the Netherlands, how to effectively use technology to reduce the required nursing and nursing human resources is important. For example: the combination of telemedicine and home hospitalization, allowing medical care to be carried out in layers, or how to connect all the data collected in the process of medical care through a health insurance system, as a follow-up judgment, Mr. Block believes that this is worthwhile direction of thinking. Using technology to eliminate isolation and loneliness "Because of the epidemic, many elderly people or cases who live alone cannot go out to meet relatives and friends, so we try to find a way to recruit tablets or mobile phones so that they can have the opportunity to video chat with relatives and friends." Joss, a nursing worker from Buurtzorg Mr. Joost de Blok (Joost de Blok) shared the real life difficulties of the clients they served during the epidemic. When Bozuk's crisis response team learned that many patients were facing isolation and feeling lonely, they began to recruit and provide tablet devices to those living alone, so that they could at least use technology to re-close the distance with relatives and friends. Returning to the community, people-oriented "integration" thinking In addition, Bozuk's team foresees that "integration" in the community field will be a future trend, including cross-field and cross-professional integration. For example: medical technology is integrated into the community - the number of beds in the hospital will be reduced, and many interventions will not need to be carried out by the hospital, but can be carried out remotely. In the future, hospitals will become highly specialized places, centers of expertise. Because of the integrated thinking, Mr. Blok observed that the development of organization flattening and decentralization is taking place. Therefore, how to construct a "people-centered" care system, so that the quality of care can be improved, meet people's needs, and at the same time provide caregivers with a better working environment will be an issue worth discussing. When uncertainty has become the new normal, 3 keys to future care models In the above case, we can foresee three key points of the future care model: "Prevention is the principle". In addition to anticipating possible situations as early as possible, the risk can be greatly reduced by reducing contact when an epidemic occurs The implementation of "personal self-management", self-diagnosis and learning of disease identification can keep the amount of medical treatment sufficient Promoting "digital and physical integration services" can support the progress of the above two The epidemic has caused grief to many families in the world. At the same time, we have also seen many dedicated medical and nursing staff, through front-line observation, combined with professionalism and experience to develop a unique coping model, from the bottom up for themselves Contributed to their own homes, and in turn inspired and influenced practices in more areas. Faced with the uncertainty of the future epidemic, Taiwan, which already has a strong awareness of prevention and has all the hardware and software in place, may wish to think about how to use technology to promote ways to maintain personal health and safety. This article is a series of articles on "New Horizons of Nursing Model" by Yinxiang Global. For more articles and new knowledge, please refer to 【Online Exhibition of Yinli Era】 . Continuing the core topics of Yinxiang Global's continuous initiative: empowerment and recovery, technology and design, symbiosis and mutual benefit, this online exhibition serves as a review and precipitation at the end of the year and the beginning of the new year. The promotion under the 3 major issues is compiled into clear and easy-to-understand information and resources, so that the public can think together and prepare for the old age life that you and I are looking forward to.
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