初级保健医生兼职对患者护理的影响:一个范围审查
Sebastian Kegreiss1, Christian Studer2, Patrick E Beeler2
1Joint Medical Master University of Lucerne and University of Zurich, Zurich, Switzerland.
The European journal of general practice
|November 1, 2023
概括
初级保健医生 (PCP) 减少工作时间可能会影响患者护理质量. 这次审查发现,兼职工作可能会影响获得和连续性,但临床结果和满意度可能不会受到影响或改善.
科学领域:
- 医疗保健劳动力研究 劳动力研究
- 主要护理医学 医疗保健
- 护理质量研究研究 护理质量研究
背景情况:
- 观察到,初级保健医生 (PCP) 减少工作时间的趋势越来越大.
- 医生工作模式的这种转变可能对医疗保健工作人员动态和患者护理服务产生重大影响.
研究的目的:
- 进行范围审查,以确定初级保健医生 (PCP) 兼职对患者护理质量的影响.
- 综合现有关于PCP减少工作时间如何影响患者护理各个方面的研究.
主要方法:
- 在主要数据库 (PubMed,CINAHL,Embase,Cochrane图书馆) 进行了系统的文献搜索.
- 包括的研究是同行评审的,采用定量,定性或混合方法的原始研究,在2000年后发表.
- 搜索术语集中在将"兼职工作"和"初级保健"结合起来,以确定检查患者护理质量影响的研究.
主要成果:
- 对14项研究的分析 (1996年以后的数据) 表明,兼职初级保健医生对患者护理的潜在负面影响,特别是关于访问和连续性的影响.
- 然而,临床结果和患者满意度似乎基本上没有受到影响,或者在某些情况下有所改善.
- 这些发现突出了医生工作时间和护理质量之间的细微关系.
结论:
- 有证据表明,初级保健医生的兼职工作对患者护理质量产生了不利和有益的影响.
- 应该制定策略,以减轻潜在的负面影响,同时保持与减少医生工作时间相关的任何积极结果.
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