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评估在西北地区获得执照的自然疗法医生农村住院培训的可行性:一项定性研究
Luciano Garofalo1,2, Thomas Bell3, Gena Poling3
1National University of Natural Medicine, Portland, OR, USA.
Integrative medicine reports
|June 28, 2023
概括
在农村卫生中心为自然疗法医生 (NDs) 开发住院是可行的. 这种培训可以帮助解决初级保健提供者短缺问题,并改善患者护理,尽管存在资金和指导等挑战.
科学领域:
- 综合医学是一个整体的医学.
- 初级护理培训培训初级护理培训
- 医疗保健服务研究 医疗服务研究
背景情况:
- 自然疗法医生 (NDs) 越来越多地被认为是初级保健提供者 (PCP).
- 研究生培训对ND至关重要,以确保患者安全和在扩大角色中的临床成功.
- 需要评估ND的正式居住计划的可行性.
研究的目的:
- 评估获得许可的ND建立居住地的潜力.
- 专注于俄勒冈州和华盛顿州的农村联邦合格卫生中心 (FQHC).
- 确定ND初级保健住院的机会和障碍.
主要方法:
- 采访了八个FQHC (六个农村,两个城市) 的领导层.
- 现场参观笔记由两名独立调查人员使用诱导推理进行分析.
- 通过共识确定的主要主题.
主要成果:
- 确定的主题包括入职,指导,培训多样性,财务和社区需求.
- 机遇:农村PCP短缺,NDs管理慢性疼痛和复杂的条件.
- 障碍:缺乏医疗保险退款,对ND范围的认识变化,导师短缺.
结论:
- 结果为在农村FQHCs开发自然疗法住院提供了一个框架.
- 居住可以增强ND服务于服务不足的社区的能力.
- 解决发现的障碍是成功实施的关键.
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