在COVID-19大流行期间,我们可以从一般实践中的经验中学到什么? 一个定性研究研究
Corinne Rijpkema1,2, Nanne Bos3, Daan Brandenbarg4
1Netherlands Institute for Health Services Research, Nivel, Utrecht, The Netherlands. c.rijpkema@nivel.nl.
BMC health services research
|June 27, 2023
概括
在COVID-19大流行期间的组织变化,包括更严格的分拣和远程咨询,为预先存在的全科医生 (GP) 挑战提供了解决方案. 保持卫生专业人员之间的密集合作是未来流行病准备的关键.
科学领域:
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
- 一般实践 创新 创新
背景情况:
- 随着COVID-19的流行,一般医生 (GP) 和非公务时间 (OOH) 服务的现有挑战变得更加突出.
- 在疫情期间实施的组织变革可能为危机前的问题和未来的健康危机提供解决方案.
研究的目的:
- 在COVID-19大流行期间,描述在白天GP实践和OOH服务中组织变化的经验.
- 评估这些变化对未来的全科医生护理和流行病应对的潜在有用性.
主要方法:
- 与11名OOH服务主管和19名全科医生或实践经理进行了半结构面试.
- 采访通过视频或电话进行,分为两轮 (2020年11月至2021年1月,2021年5月至8月).
- 用专题分析来分析收集的数据.
主要成果:
- 严格的分拣标准和医生参与度的增加减少了低紧急面对面的咨询.
- 转向视频/电话咨询允许更专注的面对面时间,并通过远程监控鼓励慢性患者通过远程监控自我照顾.
- 虽然全科医生,OOH服务和其他专业人员之间的合作加强了,但当局的不一致信息使疫情应对复杂化.
结论:
- 组织变化,如更严格的分组,远程咨询和远程监控,可以解决先前存在的GP护理挑战.
- 需要进一步的研究来证实对患者结果的影响.
- 持续的专业间合作和改进的信息传播对于应对未来的流行病至关重要.
更多相关视频
05:04Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
1.0K
13:44Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques
Published on: December 9, 2022
3.6K
相关概念视频
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
Observational Studies
8.7K
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
8.7K
Study Designs in Epidemiology
284
Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
284
Controls in Experiments
7.9K
When conducting an experiment, it is crucial to have control to reduce bias and accurately measure the dependent variables. It also marks the results more reliable. Controls are elements in an experiment that have the same characteristics as the treatment groups but are not affected by the independent variable. By sorting these data into control and experimental conditions, the relationship between the dependent and independent variables can be drawn. A randomized experiment always includes a...
7.9K
Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
Factors Affecting Illness
4.3K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.3K
