英语全科医院的现场医生:来自全国调查的证据
Gemma Stringer1, Jane Ferguson2, Kieran Walshe1
1Alliance Manchester Business School, Institute for Health Policy and Organisation, University of Manchester, Manchester, UK.
概括
现场医生对于全科医院的灵活性至关重要,但引起了人们的担忧. 实践中经常使用局部人员,但与连续性,安全性和支持有关的问题需要进一步调查质量护理.
科学领域:
- 一般实践 一般实践
- 医疗保健管理的管理
- 医学劳动力研究 医学劳动力研究
背景情况:
- 现场医生在患者服务中提供灵活性,但对护理的连续性,患者安全,团队动态和成本效益构成挑战.
- 英语的全科医院依赖于局部医生提供服务,需要了解他们的整合和影响.
研究的目的:
- 为了调查在英语一般实践中使用locum医生的情况.
- 了解局部参与的原因,它们的支持机制,以及它们是如何被感知和管理的.
主要方法:
- 一项在线调查分发给3745家普通诊所.
- 使用频率表,t测试和相关性分析定量数据;从自由文本响应中分析主题的定性数据.
主要成果:
- 16.2%的实践回答,表明经常使用locum,更喜欢熟悉的locum.
- 代理机构的地点提出了一些挑战,包括成本,缺乏患者熟悉度,以及干扰护理的连续性.
- 人们担心局部的表现,工作负载的影响,以及有限的反,再验证支持和专业发展.
结论:
- 现场工作是英国一般实践的组成部分,但目前的安排可能缺乏稳定性,影响护理质量和安全.
- 进一步的研究对于评估现场临床实践和绩效至关重要.
- 优化局部参与策略对于确保安全,高质量的患者护理至关重要.
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
Interdisciplinary Care: The Health Care Team-I
1.7K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.7K
Methods of Documentation II: POMR
989
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
989
Clinical Trials
6.8K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.8K
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Traditional Level Of Health Care System
2.8K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.8K


