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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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血管外科手術の退院を最適化するために,提供者と患者の優先事項を特定する洞察:定性的な研究
Terrell Christian1, Maraya Camazine2, Chase Schlesselman3
1Division of Vascular Surgery, Department of Surgery, University of Missouri, School of Medicine, Columbia, Missouri, One Hospital Drive, Columbia, MO 65212, United States.
まとめ
医療従事者と患者は血管外科手術の優先順位が異なります 標準化された患者中心の退院プロセスには これらのユニークな障壁に対処することが重要です
科学分野:
- 医療管理
- 患者のケアを調整する
- 血管 外科
背景:
- 病院からの退院は複雑で多学科的なプロセスで 効果的なケアコーディネーションが必要です
- 血管排出の最適化には 利害関係者の視点が重要です
研究 の 目的:
- 血管排出のプロセスにおける個々の関係者の視点と優先順位を評価する.
- 利害関係者の認識に基づいて,情報に基づいた,一貫した解消のための障壁を特定する.
主な方法:
- 半構造的フォーカスグループインタビューの定性分析
- 再設計された排出 (RED) プロセスフレームワークを利用した.
- Dedooseソフトウェアを使って コンテンツを分析した.
主要な成果:
- 医者は低レベルの医療知識と 医療の複雑さを障壁として挙げました
- スタッフは時間制約とコミュニケーションの課題を特定しました.
- 患者は,COVID-19によって悪化した複雑な指示と技術上の障壁を強調した.
結論:
- 医療従事者と患者の 退院の優先順位は大きく違います
- 個々の利害関係者のニーズに対応するために 合わせた介入が必要である.
- 標準化された患者中心の退院プロセスを開発することが不可欠です.
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