在加拿大大不列颠哥伦比亚省,使用基于理论的方法来指导初步开发的结核病后护理套餐
Kamila Romanowski1,2, Victoria Jane Cook3,4, Mark Gilbert5,6
1Provincial Tuberculosis Services, British Columbia Centre for Disease Control, Vancouver, BC, Canada. Kamila.Romanowski@bccdc.ca.
BMC health services research
|July 27, 2023
概括
这项研究确定了结核病 (TB) 后护理套餐的关键组成部分,包括初级保健联系和并发症查. 医疗保健提供者需要资源和导航服务来实施这种对结核病幸存者的必要后续护理.
科学领域:
- 公共卫生 公共卫生
- 传染病管理 传染病管理
- 医疗保健系统研究 医疗保健系统研究
背景情况:
- 人们越来越认识到结核病 (TB) 幸存者的长期健康需求.
- 结核病后的护理套餐是改善患者治疗结果的有希望的策略.
- 专注于加拿大不列颠哥伦比亚省的医疗保健提供者观点.
研究的目的:
- 确定结核病后护理套餐的基本组成部分.
- 探索实施后结核病护理的障碍和促进因素.
- 提出解决方案,以克服实施挑战.
主要方法:
- 采用理论领域框架的多方法方法.
- 虚拟研讨会和修改的Delphi过程用于组件识别.
- 使用利克尔特尺度问题进行调查,以评估障碍和促进因素.
主要成果:
- 关键组成部分包括初级保健连接,治疗结束测试,戒烟转诊和信息共享.
- "环境,背景和资源"的最低分数表明实施障碍.
- 建议的解决方案:护理导航,信息传单和检查清单.
结论:
- 医疗保健提供者认识到后结核病护理的重要性,但面临时间和资源限制.
- 护理导航服务,检查清单和传单可以解决已识别的障碍.
- 结核病后的护理是幸存者的综合医疗保健的组成部分.
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