在初级保健中使用护理途径进行癌症诊断:一项定性研究,以了解家庭医生的心理模型
Anna Pujadas Botey1, Tanya Barber2, Paula J Robson2
1Cancer Strategic Clinical Network (Pujadas Botey), Alberta Health Services, Calgary, Alta.; School of Public Health (Pujadas Botey, Robson) and Department of Family Medicine (Barber, Green), University of Alberta; Cancer Strategic Clinical Network (O'Neill, Robson), Alberta Health Services, Edmonton, Alta. Anna.PujadasBotey@ahs.ca.
CMAJ open
|June 6, 2023
概括
家庭医生使用癌症护理途径进行指导和患者沟通. 共同设计这些途径对于有效地融入初级保健实践至关重要,以改善癌症诊断.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 瘤学 导航 导航
背景情况:
- 癌症护理途径可以帮助家庭医生在复杂的癌症诊断过程中进行导航.
- 了解家庭医生的心理模型是优化这些途径使用的关键.
研究的目的:
- 检查阿尔伯塔省家庭医生在参与癌症护理途径时使用的心理模型.
- 确定影响癌症诊断途径在初级保健中的有效整合和使用的因素.
主要方法:
- 采用认知任务分析的定性研究与阿尔伯塔省的家庭医生.
- 模拟炼采访使用三个癌症护理途径示例进行.
- 数据分析整合了宏观认知理论和主题分析.
主要成果:
- 医生的心理模型包括感知,学习和患者沟通.
- 途径主要用于转诊指导和支持,而不是直接的诊断决策.
- 路径实用性的关键主题包括相关性,易于处理信息和可访问性.
结论:
- 癌症护理途径,当共同设计和有意整合时,可以支持家庭医生在信息收集和诊断决策方面.
- 优化路径设计和可访问性对于提高它们在初级保健机构中的实用性至关重要.
- 改进的途径整合有可能改善癌症诊断中的患者结果和经验.
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