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Mejorar la gestión de recursos en la atención primaria pospandemia: perspectivas sobre las directrices de Choosing
Nathan Jeffery1, Div Patel1, Taylor Marshall1
1Undergraduate Medical Education, Northern Ontario School of Medicine University, Sudbury, ON, Canada.
Resumen
Los médicos de atención primaria muestran un alto conocimiento de las directrices de Choosing Wisely Canada (CWC), pero enfrentan barreras como el tiempo y las limitaciones de recursos rurales. La mejora de la adopción requiere educación específica, tecnología y estrategias rurales adaptadas para una mejor gestión de recursos.
Área de la Ciencia:
- Atención Primaria; Investigación de Servicios de Salud; Gestión de Recursos
Sus antecedentes:
- La pandemia de COVID-19 interrumpió la atención primaria, aumentando los desafíos en la gestión de recursos.; Las directrices de Choosing Wisely Canada (CWC) tienen como objetivo reducir las intervenciones innecesarias, pero enfrentan barreras de implementación, especialmente en áreas rurales.; Las expectativas de los pacientes pueden entrar en conflicto con la atención basada en evidencia, particularmente después de la pandemia.
Objetivo del estudio:
- Explorar el conocimiento, la utilización y las barreras de los médicos de atención primaria para implementar las directrices de CWC pospandemia.; Identificar desafíos, oportunidades de mejora de la calidad y enfoques innovadores para reducir la atención de bajo valor.; Centrarse en los desafíos específicos de los entornos de atención primaria rural.
Principales métodos:
- Una encuesta en línea distribuida a médicos de atención primaria en todo Canadá.; Recopilación de datos demográficos, hábitos de práctica y perspectivas sobre las directrices de CWC.; Análisis cuantitativo de tendencias y análisis cualitativo de respuestas abiertas para temas recurrentes.
Principales resultados:
- Alto conocimiento (97,6%) de las directrices de CWC, pero baja familiaridad con las adaptaciones pospandemia (36,2%) y los materiales para pacientes (61,4%).; Las barreras clave incluyeron limitaciones de tiempo, miedo a diagnósticos erróneos y recursos rurales limitados.; Los médicos enfatizaron enfoques rurales adaptados, integración de EMR, herramientas de apoyo a la decisión móvil y educación mejorada para pacientes para combatir la desinformación.
Conclusiones:
- La educación médica y para pacientes específica, la colaboración interprofesional y la integración de tecnología son cruciales para la adopción de CWC.; Las soluciones adaptadas que abordan los desafíos específicos de las zonas rurales y las barreras sistémicas son vitales para la gestión sostenible de los recursos de atención primaria.; Es esencial abordar las demandas de los pacientes de pruebas innecesarias, a menudo impulsadas por la desinformación en las redes sociales.
Palabras clave:
Directrices de Choosing Wisely CanadaRecommandations Choisir avec soingestión responsable de recursosretroalimentación de médicosgestión de recursosMás Videos Relacionados
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