影响医疗保健提供者转诊到心脏功能诊所的因素:一种混合方法研究
The Journal of cardiovascular nursing
|September 5, 2023
概括
心力衰竭 (HF) 诊所转诊受到提供者怀疑和感知到的自给自足的阻碍. 增加提供者教育和支持对于改善患者获得拯救生命的HF诊所至关重要.
科学领域:
- 心脏病学 心脏病学
- 医疗保健管理的管理
- 患者获得护理的机会
背景情况:
- 心力衰竭 (HF) 诊所对于患者管理至关重要.
- 医疗保健提供者作为门卫,为患者进入这些诊所提供服务.
研究的目的:
- 调查医疗保健提供者对将患者转移到高频率诊所的看法.
- 探索提供者专业和COVID-19大流行对推实践的影响.
主要方法:
- 混合方法研究采用定性访谈和横截面调查.
- 与安大略省的高频提供商进行的半结构面试.
- 调查分布在加拿大各地的高频供应商,使用适应的推态度尺度.
主要成果:
- 确定了关键主题:对高频率诊所的了解,提供者的专业知识,患者沟通和转诊流程.
- 转诊的主要障碍包括对临床效益的怀疑和对自我管理的信念.
- 与其他专业相比,心脏病学家对转诊标准的明确性和实践支持的支持更强烈.
- 三分之一的提供者报告说,与大流行有关的影响影响了他们的转诊实践.
结论:
- 对于适当的HF诊所转诊存在障碍,包括提供者的怀疑和感知到的专业知识.
- 加强提供者教育和支持系统是必要的,以优化患者进入HF诊所.
- 解决提供者的看法和改善转诊流程可以改善心力衰竭患者的护理连续性.
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