在衰竭中,第三级-初级医疗保健接口对患者的影响:一种定性研究
Samantha Welke1, Emily Duncanson2,3,4, Chris Bollen2
1Central Northern Adelaide Renal and Transplantation Service (CNARTS), Central Adelaide Local Health Network, Royal Adelaide Hospital, Adelaide, SA, Australia. samantha.welke2@sa.gov.au.
Journal of nephrology
|August 26, 2023
概括
过渡到透析的患者经历了分散的初级和三级护理,这影响了他们的信心,增加了压力. 改善协调和沟通对于改善患者体验和参与护理至关重要.
科学领域:
- 提供医疗保健和患者体验.
- 脏医学和卫生服务研究研究
背景情况:
- 在初级和三级医疗保健接口报告的碎片化.
- 患者对服务导航和碎片化影响的看法还没有很好地定义,特别是对于透析患者.
- 需要以患者为中心的模型,以患者经验为基础.
研究的目的:
- 定义患者对医疗服务接口运作的看法.
- 了解对医疗保健体验和参与的影响.
- 为透析患者提供以患者为中心,以结果为重点的服务模式.
主要方法:
- 使用半结构面试进行的定性研究.
- 25名透析患者 (16名男性,年龄在34-78岁) 在一个多站点的第三级服务中.
- 对面试成绩单进行主题分析.
主要成果:
- 确定的主题:全科医生关系,脏护理所有权和科医生-全科医生沟通.
- 患者认为初级-三级接口不可靠,缺乏协调护理.
- 碎片化影响了信心,导致对第三级护理的依赖增加,并增加了患者协调沟通的压力.
结论:
- 碎片化的初级-第三级接口挑战了患者的导航,并对体验产生了负面影响.
- 导致初级保健脱离,信心下降,压力增加.
- 未来的研究应该评估透析患者的卫生系统整合倡议.
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