对话启动:了解医生发起的安全枪支存储对话的促进者和障碍
Jennifer Necci Dineen1, Mitchell Doucette2, Mekaila Carey3
1University of Connecticut School of Public Policy, School of Public Policy, University of Connecticut, Hartford Times Building, Fourth Floor, 10 Prospect Street, Hartford, CT, USA; ARMS Center for Gun Injury Prevention, University of Connecticut, School of Public Policy, University of Connecticut, Hartford Times Building, Fourth Floor, 10 Prospect Street, Hartford, CT, USA.
Patient education and counseling
|November 22, 2023
概括
一般实践医生面临枪支安全咨询的障碍,包括时间限制和缺乏培训. 解决这些系统性问题是增加医生主导枪支安全指导的关键.
科学领域:
- 公共卫生 公共卫生
- 医学教育 医学教育
- 定性研究是指质量研究.
背景情况:
- 医生发起的预期指导对公共卫生至关重要.
- 一般医生 (GPs) 的枪支安全咨询不一致.
- 了解医生的观点对于改善枪支安全干预至关重要.
研究的目的:
- 识别一般医生在枪支安全指导方面所认为的促进者和障碍.
- 探讨医生对启动关于枪支安全的对话的观点.
- 为提高医生主导的枪支安全咨询提供信息的策略.
主要方法:
- 对18名全科医生进行了定性采访.
- 从国家医生小组中选出的参与者,根据州法律分层.
- 查标准包括专业,实践环境和患者护理时间.
主要成果:
- 确定了五个主要障碍:不充分的查,风险感知变化,时间限制,患者接受度问题和培训缺陷.
- 医生认为,在识别有枪支伤害风险的患者方面存在挑战.
- 缺乏结构化的机制阻碍了常规的枪支安全讨论.
结论:
- 干预措施必须解决系统性障碍,然后才能专注于沟通技术.
- 需要修订查工具和加强医生关于风险和沟通的教育.
- 改善医生发起的枪支安全指导需要解决结构障碍.
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