感知到的访问和适当性:教学和住院家庭医生患者的比较
Isabel Rodrigues1, Marie Authier1, Jeannie Haggerty2
1Department of Family Medicine, University of Montreal, Montreal, QC, Canada.
Family medicine
|June 13, 2023
概括
与教学诊所的住院医生相比,患者对工作人员医生的预约访问和访问满意度更好. 高年级的住户表现出更好的以患者为中心,这表明培训有好处.
科学领域:
- 医学教育 医学教育
- 医疗保健服务研究 医疗服务研究
- 主要护理是指初级护理.
背景情况:
- 教学诊所努力提供全面,高质量,及时的患者护理.
- 住院医生的时间表可以在获得护理和保持连续性方面带来挑战.
- 研究解决了患者在教学诊所的访问,适当性和以患者为中心的体验.
研究的目的:
- 在家庭居民和工作人员医生患者之间比较及时获得护理的机会.
- 确定报告的访问适当性和以患者为中心的差异.
- 在大学附属家庭医学网络中评估患者的感知.
主要方法:
- 在九个家庭医学教学诊所进行的横截面调查.
- 匿名的咨询前后问卷给患者使用.
- 数据来自1979次咨询前调查.
主要成果:
- 员工医生患者报告通常预约等待时间 (46%) 比住院患者 (35%) 更好.
- 住院患者更经常在其他诊所寻求护理.
- 咨询后,工作人员患者报告了更好的访问体验;第二年住院患者报告了比第一年住院患者更好的患者中心性.
结论:
- 虽然患者对护理准入和充分性的整体看法是积极的,但工作人员医生也面临着接入挑战.
- 随着住院人员的培训,患者为中心的态度得到了改善,特别是对于第二年住院人员来说.
- 研究结果强调了培训对以患者为中心的最佳实践在学术家庭医学环境中的影响.
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