"脆弱是形容词而不是诊断" - - 在初级保健中识别脆弱:定性面试研究
Anna Seeley1, Margaret Glogowska1, Gail Hayward1
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Age and ageing
|June 27, 2023
概括
英格兰的初级保健临床医生对虚弱的理解有所不同,经常非正式地识别它. 需要改进的诊断工具和资源,以更好地识别脆弱性和患者护理.
科学领域:
- 老年学是一门学科.
- 初级医疗保健医学 一级医疗保健医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 英国NHS在2017年在全科医生合同中实施了主动的脆弱性识别.
- 对前线临床医生如何实施这一政策及其对患者护理的影响的了解有限.
研究的目的:
- 探索英格兰多学科初级保健临床医生之间的虚弱的概念化和识别.
主要方法:
- 对31名初级保健工作人员 (全科医生,医生助理,护士从业人员,护理人员,药剂师) 进行了定性半结构面试.
- 通过使用NVivo (12 版) 进行主题分析.
主要成果:
- 临床医生发现脆弱很难定义,基于角色,经验和培训的各种概念化.
- 鉴定主要是非正式和机会主义的,依赖于模式识别,尽管一些实践使用了选.
- 对电子脆弱指数的熟悉度很高,但对准确性和可用性存在担忧.
结论:
- 在初级保健中存在不同的脆弱概念,主要是临时识别.
- 一个连贯的初级保健专用方法,改进的诊断工具和资源配置可以提高脆弱性识别.
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