铺平了改善移植获取的解决方案的道路:从多方利益相关方的角度进行定性研究
Ruben van Merweland1, Jan J V Busschbach2, Jacqueline van de Wetering3
1Department of Psychiatry, Section of Medical Psychology and Psychotherapy, Erasmus MC, Rotterdam, The Netherlands r.vanmerweland@erasmusmc.nl.
BMJ open
|June 1, 2023
概括
利益相关者确定了跨政策,医疗和心理社会领域的移植获取关键障碍. 需要紧急,简单的解决方案,以改善患者获得这种挽救生命的手术.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植医学 移植医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 获得移植是管理末期病的关键问题.
- 改善接入需要理解利益相关者的不同观点.
- 当前的挑战影响患者的治疗成果和医疗保健系统的效率.
研究的目的:
- 收集有关脏移植障碍的深入利益相关者观点.
- 确定影响移植最佳获取的因素.
- 为改善脏移植准入的解决方案的开发提供信息.
主要方法:
- 使用半结构面试进行的定性研究.
- 专注小组和个人采访进行.
- 在数据分析中应用了基于理论的原则.
主要成果:
- 利益相关者在政策,医疗,心理,社会和经济领域发现了重大障碍.
- 需要提高对临床指导方针的认识和医疗标准的标准化.
- 加强信息提供和经济模式的调整对于更好的访问至关重要.
结论:
- 利益相关者表示非常迫切需要解决脏移植的障碍.
- 许多已识别的障碍很容易克服,但仍然没有解决.
- 未来的解决方案可以与相关利益相关者合作开发.
相关概念视频
Kidney Transplant I: Introduction
29
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
29
Kidney Transplant II: Surgical Procedure
37
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
37
Kidney Transplant III: Nursing Management
41
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
41
Chronic Kidney Disease III: Interprofessional Care
51
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
51
Chronic Kidney Disease I: Introduction
48
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage kidney disease (ESKD). At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate...
48
Acute Kidney Injury V: Interprofessional Care
30
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
30


