患者为中心 - 在初级医疗经理中进行的一项文化有针对性的调查
Orna Tal1,2,3, Royi Barnea4,5, Aviad Tur-Sinai6,7
1Shamir Medical Center, Be'er Yaakov, Israel. ornatal10@gmail.com.
International journal for equity in health
|August 30, 2023
概括
以色列的初级医疗经理对以患者为中心有不同的看法,文化细微差别影响了对患者参与医疗保健决策的看法. 赋予这些管理人员权力可以推动公平,以患者为中心的护理实施.
科学领域:
- 医疗保健管理的管理
- 健康 公平 卫生 公平
- 跨文化医疗保健研究 跨文化医疗保健研究
背景情况:
- 患者为中心在医疗保健中至关重要,但专业理解和患者参与医疗决策之间存在差距.
- 初级医疗经理 (JMM) 在弥合医疗保健政策和患者需求方面发挥着关键作用.
- 这项研究调查了以色列阿拉伯语和希伯来语发言人对JMM对患者中心感知的文化差异.
研究的目的:
- 探索初级医疗经理 (JMM) 关于以患者为中心的观点.
- 鉴定以色列多数 (希伯来语) 和少数 (阿拉伯语) 亚群体之间理解患者中心性的文化差异.
- 为在不同的人群中有效实施以患者为中心的护理策略提供信息.
主要方法:
- 在2022年2月至3月,在以色列追求高级卫生系统管理学位的JMM中进行了一项横截面调查.
- 一个结构化的问卷评估了对信任,问责制,保险,经济地位,决策,股权偏好和人口统计的看法.
- 从192名受访者收集了数据,阿拉伯语和希伯来语的发言人比例均衡.
主要成果:
- 在阿拉伯语和希伯来语说者之间,在信任,问责,保险或经济地位方面没有发现任何显著差异.
- 虽然这两组都认为患者希望更多的参与,但说阿拉伯语的JMM认为患者更依赖医生的建议,与说希伯来语的JMM不同,他们认为患者更喜欢领导决策.
- 讲阿拉伯语的JMM认为医疗保健专业人员倾向于受过教育的患者或获得家庭支持的患者.
结论:
- 以患者为中心需要一个透明的,全国性的,自下而上的和自上而下的实施战略.
- 在将政策转化为实践,考虑社会差异和促进个性化患者对话方面,联合医疗计划至关重要.
- 赋予JMM权力可以产生连锁效应,促进公平,并启动以患者为中心的护理的系统变化.
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