在贫困和种族多样性领域的一般实践中糖尿病专家干预:定性评估 (QUAL-ECLIPSE)
Peter Zeh1, Annie Young2, Nitin Gholap3
1Centre for Healthcare Research, Faculty of Health & Life Sciences, Coventry University, Coventry CV1 5RW, UK; Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK; Warwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism (WISDEM) Centre, University Hospitals Coventry & Warwickshire NHS Trust, Coventry CV2 2DX, UK.
Primary care diabetes
|November 5, 2023
概括
由专家领导的糖尿病基于风险评估诊所 (DIRAC) 得到了患者和医疗保健专业人员的好评. 这项试点研究表明,DIRAC可以改善贫困地区复杂的糖尿病护理管理.
科学领域:
- 糖尿病护理 糖尿病护理
- 公共卫生 公共卫生
- 定性研究是一种定性研究.
背景情况:
- 贫困地区在管理糖尿病并发症方面面临挑战.
- 专家主导的干预可以改善患者的治疗结果.
研究的目的:
- 评估患者和医疗保健专业人员在由专家领导的糖尿病基于风险评估诊所 (DIRAC) 的观点.
- 评估 DIRAC 对贫困地区糖尿病并发症高风险患者 (PWDHRC) 的可行性.
主要方法:
- 试验试验的定性评估,使用观察和半结构面试.
- 从154次患者咨询和19次采访PWDHRC,初级保健医生和糖尿病专家的数据进行主题分析.
- 干预包括每周的虚拟或面对面咨询和每月的干预会议.
主要成果:
- PWDHRC报告说,他们经历了文化敏感的综合护理.
- 所有参与者都觉得自己在管理复杂的糖尿病护理方面有了更高的技能.
- 尽管存在成本问题,EMIS和ECLIPSE技术对糖尿病管理做出了积极贡献.
结论:
- 专家领导的DIRAC模型在很大程度上得到了参与者的赞赏.
- 定性发现支持DIRAC的进展到全面服务评估.
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