影响转诊和患者进入安大略省心脏功能诊所的因素:有关利益相关者的定性研究
Taslima Mamataz1,2, Adeleke Fowokan3, Ahmad Mohammad Hajaj4
1Faculty of Health, York University, Toronto, Ontario, Canada.
CJC open
|July 3, 2023
概括
多学科心力衰竭诊所 (HFCs) 改善了患者护理,但面临着进入障碍. 解决系统缺陷,转诊问题和患者因素对于公平的HFC利用至关重要.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 定性研究是指质量研究.
背景情况:
- 心力衰竭诊所 (HFC) 提供多学科护理,但仍然存在低于最佳和不公平的利用情况.
- 了解利益相关者的观点是改善获得这些重要服务的关键.
研究的目的:
- 调查影响转诊和患者获得HFCs的因素.
- 收集政策制定者,HFC提供者和患者的见解.
主要方法:
- 使用半结构面试与安大略省利益相关者 (政策制定者,HFC提供者,患者) 进行定性研究.
- 在2020年2月至6月和2022年7月至12月期间进行的采访,使用系统的文本缩写进行分析.
- 有目的的抽样确保了各种利益相关者群体的数据和.
主要成果:
- 确定了五个关键主题:卫生系统组织 (连续性,能力,资金),转诊流程 (标准,范围,延迟),诊所特征 (服务,专业知识),患者因素 (并发症,社会经济状况,位置) 和流行病影响.
- 报告指出,在护理连续性,资金和及时获取方面存在差距.
- 与患者相关的障碍,包括社会经济地位和位置,也影响了访问.
结论:
- 标准化和整合心力衰竭护理连续需要专门的资源.
- 利益相关者之间的协作努力对于优化HFC转介和访问至关重要.
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