{"id":37751,"date":"2025-02-21T10:39:27","date_gmt":"2025-02-21T10:39:27","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=37751"},"modified":"2025-02-21T10:39:27","modified_gmt":"2025-02-21T10:39:27","slug":"improving-care-for-older-people-with-acute-infections","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/zh\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/type-2-rcf-funded-projects\/improving-care-for-older-people-with-acute-infections\/","title":{"rendered":"\u6539\u5584\u8001\u5e74\u6025\u6027\u611f\u67d3\u60a3\u8005\u7684\u62a4\u7406"},"content":{"rendered":"<div class=\"assembler_default-group assembler_module_group assembler_default-group_1 assembler_module_group_1\"><div class=\"assembler_module_area assembler_module_area_1\"><div class=\"assembler_text-module assembler_module assembler_text-module_1 assembler_module_1  transparent\"><a tabindex=\"-1\" title=\"\u6a21\u5757-1\" id=\"module-1\" href=\"https:\/\/bnssghealthiertogether.org.uk\/zh\/wp-json\/wp\/v2\/pages\/37751\/#module-1\" class=\"anchor\"><span class=\"hidden\">\u6a21\u5757-1<\/span><\/a><!-- Template found for text-module - Template: template-text - Matched: _only --><section class=\"w-full mx-auto max-w-content pt-12 sm:pt-24 pb-12 sm:pb-24\">\r\n  <div class=\"entry-content w-full !px-0 max-w-small\">\r\n        <h1>\u6539\u5584\u8001\u5e74\u6025\u6027\u611f\u67d3\u60a3\u8005\u7684\u62a4\u7406<\/h1>\n<h2><strong>\u95ee\u9898\u662f\u4ec0\u4e48\uff1f<\/strong><\/h2>\n<p><strong>\u00a0<\/strong>75\u5c81\u4ee5\u4e0a\u4eba\u7fa4\u7684\u6025\u6027\u611f\u67d3\u901a\u5e38\u96be\u4ee5\u8bca\u65ad\uff0c\u4e14\u4e0e\u6297\u751f\u7d20\u6ee5\u7528\u548c\u975e\u8ba1\u5212\u4f4f\u9662\u5bc6\u5207\u76f8\u5173\uff08Rhee &amp; Stone 2014; Beckett et al 2015; Millet et al 2015\uff09\u3002\u76ee\u524d\u5df2\u6709\u5927\u91cf\u7814\u7a76\u63a2\u8ba8\u8001\u5e74\u4eba\u6297\u751f\u7d20\u6ee5\u7528\u548c\u975e\u8ba1\u5212\u4f4f\u9662\u7684\u539f\u56e0\u53ca\uff08\u5b89\u5168\uff09\u51cf\u5c11\u65b9\u6cd5\uff0c\u4f46\u4e3b\u8981\u96c6\u4e2d\u5728\u517b\u8001\u9662\u7b49\u673a\u6784\uff08Feldstein et al 2018; Nguyen et al 2019; Raban et al 2020; Smith et al 2020\uff09\u3002\u5c3d\u7ba1\u91c7\u53d6\u4e86\u5404\u79cd\u63aa\u65bd\uff0c\u4f46\u7531\u4e8e\u5b9e\u65bd\u8fc7\u7a0b\u4e2d\u5b58\u5728\u8bf8\u591a\u969c\u788d\uff0c\u6297\u751f\u7d20\u6ee5\u7528\u5728\u517b\u8001\u9662\u4ecd\u7136\u662f\u4e00\u4e2a\u95ee\u9898\uff08Vicentini et al 2024\uff09\u3002\u5bf9\u4e8e\u72ec\u7acb\u751f\u6d3b\u7684\u8001\u5e74\u4eba\uff0c\u5373\u4f7f\u90e8\u5206\u8001\u5e74\u4eba\u6709\u6b63\u5f0f\u6216\u975e\u6b63\u5f0f\u7167\u62a4\u8005\u7684\u652f\u6301\uff0c\u76ee\u524d\u9488\u5bf9\u8fd9\u4e9b\u95ee\u9898\u4ee5\u53ca\u5982\u4f55\u5b89\u5168\u51cf\u5c11\u6297\u751f\u7d20\u5904\u65b9\u7684\u7814\u7a76\u4ecd\u7136\u532e\u4e4f\u3002.<\/p>\n<p>\u968f\u774075\u5c81\u4ee5\u4e0a\u4eba\u53e3\u6570\u91cf\u7684\u589e\u957f\u548c\u79cd\u65cf\u591a\u6837\u6027\u7684\u589e\u52a0\uff0c\u5065\u5eb7\u4e0d\u5e73\u7b49\u73b0\u8c61\u4e5f\u65e5\u76ca\u52a0\u5267\u3002\u8d2b\u56f0\u5730\u533a\u7684\u5065\u5eb7\u72b6\u51b5\u548c\u9884\u671f\u5bff\u547d\u6bd4\u5bcc\u88d5\u5730\u533a\u66f4\u5dee\uff0c\u82f1\u683c\u5170\u5357\u90e8\u5730\u533a\u7684\u5065\u5eb7\u72b6\u51b5\u4e5f\u6bd4\u5317\u90e8\u5730\u533a\u66f4\u5dee\uff08Bambra\uff0c2022\uff1bMunford\u7b49\uff0c2023\uff09\u3002\u6765\u81ea\u5f31\u52bf\u7fa4\u4f53\uff08\u5305\u62ec\u5c11\u6570\u65cf\u88d4\u548c\u4f4e\u793e\u4f1a\u7ecf\u6d4e\u5730\u4f4d\u4eba\u7fa4\uff09\u7684\u611f\u67d3\u98ce\u9669\u66f4\u9ad8\uff0c\u643a\u5e26\u8010\u836f\u83cc\u7684\u98ce\u9669\u4e5f\u66f4\u9ad8\uff08Ayorinde\u7b49\uff0c2023\uff09\u3002.<\/p>\n<p>\u6211\u4eec\u9700\u8981\u4e86\u89e3\u5bfc\u81f4\u8001\u5e74\u6025\u6027\u611f\u67d3\u60a3\u8005\u5728\u62a4\u7406\u548c\u5065\u5eb7\u7ed3\u679c\u65b9\u9762\u5b58\u5728\u4e0d\u5e73\u7b49\u73b0\u8c61\u7684\u539f\u56e0\uff0c\u4ee5\u53ca\u5982\u4f55\u6539\u5584\u62a4\u7406\u5e76\u51cf\u5c11\u4e0d\u5e73\u7b49\u73b0\u8c61\u3002\u8fd9\u9879\u5de5\u4f5c\u5c06\u7740\u773c\u4e8eICB\u7684\u4f18\u5148\u4e8b\u9879\uff0c\u5373\u89e3\u51b3\u4e0d\u5e73\u7b49\u95ee\u9898\u5e76\u4e3a\u8001\u5e74\u4eba\u63d0\u4f9b\u4e34\u7ec8\u5173\u6000\u3002.<\/p>\n<h2><strong>\u8fd9\u9879\u7814\u7a76\u7684\u76ee\u7684\u662f\u4ec0\u4e48\uff1f<\/strong><\/h2>\n<p><strong>\u00a0<\/strong>RCF\u9879\u76ee\u7684\u76ee\u6807\u662f\uff1a<\/p>\n<ol>\n<li>\u56de\u987e\u5f53\u524d\u5173\u4e8e\u8fb9\u7f18\u5316\u7fa4\u4f53\u8001\u5e74\u4eba\u6297\u751f\u7d20\u8fc7\u5ea6\u5904\u65b9\u548c\u5904\u65b9\u4e0d\u8db3\u4ee5\u53ca\u56e0\u6025\u6027\u611f\u67d3\u800c\u5bfc\u81f4\u7684\u975e\u8ba1\u5212\u4f4f\u9662\u7684\u9a71\u52a8\u56e0\u7d20\u7684\u6587\u732e<\/li>\n<li>\u4e0e\u6765\u81ea\u4e0d\u540c\u9886\u57df\u7684\u516c\u4f17\u548c\u5229\u76ca\u76f8\u5173\u8005\u5171\u540c\u8bbe\u8ba1\u672a\u6765\u7684\u7814\u7a76\uff0c\u4ee5\u6539\u5584\u8001\u5e74\u611f\u67d3\u8005\u7684\u62a4\u7406\u3002\n<ul>\n<li>\u786e\u5b9a\u76ee\u6807\u4eba\u7fa4\uff08\u5e74\u9f84\u8303\u56f4\uff1b\u4f4f\u5728\u62a4\u7406\u9662\/\u517b\u8001\u9662\u7684\u4eba\u548c\/\u6216\u72ec\u7acb\u751f\u6d3b\u7684\u4eba\uff1b\u54ea\u4e9b\u8001\u5e74\u4eba\u7fa4\u4f53\u4ee3\u8868\u6027\u4e0d\u8db3\uff09\u3002.<\/li>\n<li>\u627e\u51fa\u8bc1\u636e\u7f3a\u53e3\uff0c\u5e76\u5171\u540c\u8bbe\u8ba1\u9002\u5f53\u7684\u7814\u7a76\u95ee\u9898\u548c\u7814\u7a76\u6765\u5f25\u8865\u8fd9\u4e9b\u7f3a\u53e3\u3002.<\/li>\n<li>\u786e\u5b9a\u6f5c\u5728\u7684\u5e72\u9884\u63aa\u65bd\uff0c\u5e76\u5171\u540c\u8bbe\u8ba1\u5e72\u9884\u63aa\u65bd\u5f00\u53d1\u548c\u53ef\u884c\u6027\u7814\u7a76\u65b9\u6848\u3002.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<h2><strong>\u5e03\u91cc\u65af\u6258\u5c14\u3001\u5317\u8428\u9ed8\u585e\u7279\u548c\u5357\u683c\u6d1b\u65af\u7279\u90e1\u7684 ICB RCF \u5c06\u5982\u4f55\u4f7f\u7528\uff1f<\/strong><\/h2>\n<p>RCF \u7684\u8d44\u52a9\u5c06\u652f\u6301 SRA \u8fdb\u884c PPI \u548c\u5229\u76ca\u76f8\u5173\u8005\u54a8\u8be2\u3001\u5f00\u5c55\u5feb\u901f\u6587\u732e\u7efc\u8ff0\u4ee5\u53ca\u64b0\u5199\u62e8\u6b3e\u7533\u8bf7\u7684\u65f6\u95f4\u3002.<\/p>\n<p>\u6211\u4eec\u5c06\u62db\u52df\u4e00\u4e2a\u591a\u5143\u5316\u7684\u516c\u4f17\u54a8\u8be2\u5c0f\u7ec4\uff0c\u5171\u540c\u8bbe\u8ba1\u672a\u6765\u7684\u7814\u7a76\u9879\u76ee\uff0c\u786e\u4fdd\u7eb3\u5165\u5177\u6709\u4e0d\u540c\u80cc\u666f\u7684\u4eba\uff08\u8be6\u60c5\u89c1\u4e0b\u4e00\u8282\uff09\u3002.<\/p>\n<p>\u6211\u4eec\u5c06\u7ec4\u5efa\u4e00\u652f\u5177\u5907\u76f8\u5e94\u4e13\u4e1a\u77e5\u8bc6\u7684\u7814\u7a76\u56e2\u961f\u3002\u5361\u5e03\u62c9\u5c14\u535a\u58eb\u901a\u8fc7\u5979\u5728\u5e03\u91cc\u65af\u6258\u5c14\u5065\u5eb7\u4fc3\u8fdb\u7814\u7a76\u4e2d\u5fc3 (HPRU) \u7684\u5de5\u4f5c\uff0c\u4ee5\u53ca\u5979\u4f5c\u4e3a\u521d\u7ea7\u4fdd\u5065\u5b66\u4f1a (SPCR) \u4f1a\u5458\u7684\u8eab\u4efd\uff0c\u4e0e\u82f1\u56fd\u5065\u5eb7\u79d1\u5b66\u534f\u4f1a (HSA) \u548c\u5b66\u672f\u754c\u7684\u521d\u7ea7\u4fdd\u5065\u4e34\u5e8a\u533b\u751f\u5efa\u7acb\u4e86\u8054\u7cfb\u3002\u5979\u5c06\u4ece\u73b0\u6709\u7684\u4eba\u8109\u7f51\u7edc\u4e2d\u5bfb\u627e\u5408\u9002\u7684\u5408\u4f5c\u8005\u3002.<\/p>\n<p>\u6211\u4eec\u5c06\u5bf9\u6587\u732e\u8fdb\u884c\u5feb\u901f\u56de\u987e\uff0c\u4ee5\u786e\u5b9a\u73b0\u6709\u8bc1\u636e\u57fa\u7840\u548c\u4e0d\u8db3\u4e4b\u5904\u3002\u8fd9\u5c06\u6709\u52a9\u4e8e\u8bc6\u522b\u6709\u5173\u8001\u5e74\u4eba\u6297\u751f\u7d20\u8fc7\u5ea6\u4f7f\u7528\uff08\u5305\u62ec\u8fc7\u5ea6\u5904\u65b9\u548c\u5904\u65b9\u4e0d\u8db3\uff09\u4ee5\u53ca\u56e0\u6025\u6027\u611f\u67d3\u800c\u5bfc\u81f4\u975e\u8ba1\u5212\u4f4f\u9662\u7684\u9a71\u52a8\u56e0\u7d20\u7684\u6587\u732e\u3002\u6211\u4eec\u8fd8\u5c06\u5bf9\u76f8\u5173\u4eba\u7fa4\u7684\u5e72\u9884\u7814\u7a76\u8fdb\u884c\u7efc\u8ff0\uff08Cochrane \u5efa\u8bae\u5728\u5df2\u6709\u82e5\u5e72\u7cfb\u7edf\u8bc4\u4ef7\u7684\u60c5\u51b5\u4e0b\u8fdb\u884c\u7efc\u8ff0\u7efc\u8ff0\uff09\u3002\u516c\u4f17\u5c06\u53c2\u4e0e\u6b64\u6b21\u7efc\u8ff0\uff0c\u5171\u540c\u51b3\u5b9a\u7efc\u8ff0\u91cd\u70b9\u3001\u7814\u7a76\u7eb3\u5165\u548c\u6392\u9664\u3001\u7efc\u5408\u5206\u6790\u548c\u62a5\u544a\u64b0\u5199\u3002.<\/p>\n<p>\u6211\u4eec\u8ba1\u5212\u7f16\u5199\u4e0e HSDR \u548c RfPB \u4e92\u8865\u7684\u5e94\u7528\u7a0b\u5e8f\uff0c\u4ee5\u8c03\u67e5\u5b9e\u8df5\u5e76\u5236\u5b9a\u5e72\u9884\u63aa\u65bd\u3002.<\/p>\n<h2><strong>\u8c01\u5728\u9886\u5bfc\u8fd9\u9879\u7814\u7a76\uff1f<\/strong><\/h2>\n<p>\u8be5\u9879\u76ee\u7531\u5e03\u91cc\u65af\u6258\u5927\u5b66\u5b66\u672f\u57fa\u5c42\u533b\u7597\u4e2d\u5fc3\u9ad8\u7ea7\u8bb2\u5e08\u514b\u91cc\u65af\u8482\u00b7\u5361\u5e03\u62c9\u5c14\u535a\u58eb\u9886\u5bfc\u3002.<\/p>\n<h2><strong>\u66f4\u591a\u4fe1\u606f<\/strong><\/h2>\n<p>\u5982\u9700\u4e86\u89e3\u66f4\u591a\u4fe1\u606f\u6216\u53c2\u4e0e\u6b64\u9879\u76ee\uff0c\u8bf7\u8054\u7cfb\u6211\u4eec\u3002\u00a0<a href=\"mailto:bnssg.research@nhs.net\"><strong>bnssg.research@nhs.net<\/strong><\/a>.<\/p>\n  <\/div>\r\n  <\/section><\/div><!-- .assembler_text-module.assembler_module.assembler_text-module_1.assembler_module_1..transparent --><\/div><!-- .assembler_module_area.assembler_module_area_1 --><\/div><!-- .assembler_default-group.assembler_module_group.assembler_default-group_1.assembler_module_group_1  -->","protected":false},"excerpt":{"rendered":"<p>Section titled module-1 Improving care for older people with acute infections What is the problem? \u00a0Acute infections in people over 75 years are often difficult to diagnose and linked to both over prescription of antibiotics and unplanned hospital admissions (Rhee &amp; Stone 2014; Beckett et al 2015; Millet et al 2015). There has been considerable [&hellip;]<\/p>\n","protected":false},"author":28,"featured_media":0,"parent":32896,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-37751","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/zh\/wp-json\/wp\/v2\/pages\/37751","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/zh\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/zh\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/zh\/wp-json\/wp\/v2\/users\/28"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/zh\/wp-json\/wp\/v2\/comments?post=37751"}],"version-history":[{"count":2,"href":"https:\/\/bnssghealthiertogether.org.uk\/zh\/wp-json\/wp\/v2\/pages\/37751\/revisions"}],"predecessor-version":[{"id":37753,"href":"https:\/\/bnssghealthiertogether.org.uk\/zh\/wp-json\/wp\/v2\/pages\/37751\/revisions\/37753"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/zh\/wp-json\/wp\/v2\/pages\/32896"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/zh\/wp-json\/wp\/v2\/media?parent=37751"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/zh\/wp-json\/wp\/v2\/tags?post=37751"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}