在德国的惩戒设施中与全科医生和精神病医生实施跨专业视频咨询:混合方法研究的结果
Miriam Giovanna Colombo1, Stefanie Joos2, Roland Koch2
1Institute for General Practice and Interprofessional Care, University Hospital Tübingen, Osianderstrasse 5, Tübingen, Baden-Württemberg, 72076, Germany. miriam.colombo@med.uni-tuebingen.de.
BMC health services research
|June 5, 2023
概括
视频咨询 (VC) 可以补充惩戒机构的医疗保健,改善人员短缺期间的获取. 将远程医疗医生整合到当地团队中可以加强合作,克服实施障碍.
科学领域:
- 校正医疗卫生机构的医疗卫生.
- 远程医疗远程医疗
- 专业间合作 专业间合作
背景情况:
- 由于人员短缺,惩教设施面临医疗保健限制,需要外部医生咨询.
- 视频咨询 (VC) 为在惩教机构内提供医疗保健提供一个潜在的解决方案.
- 一个试点项目在德国五个惩教设施中实施了同步的VC.
研究的目的:
- 从提供者的角度描述虚拟货币在惩教设施中的实施过程.
- 识别促进或抑制VC实施的因素.
- 专注于护理人员和远程医疗医生之间的跨专业合作.
主要方法:
- 通过现场考察,采访和问卷调查进行混合方法评估.
- 参与者包括护理人员 (n=49) 和远程医疗医生 (n=10).
- 面试的定性内容分析和问卷的描述性统计,整合在规范化过程理论中.
主要成果:
- 维基百科被认为是支持性的,尤其是在医生缺席期间.
- 通过将远程医疗医生分配到特定设施,可以实现更好的跨专业合作.
- 障碍包括护理人员缺乏参与,工作量增加,培训不足和时间不便.
结论:
- 维基百科显示承诺作为补充在惩戒设施的人身医疗保健.
- 通过加强专业间合作,可以减轻限制.
- 建议将远程医疗医生整合到当地医疗保健团队中.
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