患者对从全科医生转移到医疗实践助理任务的看法 - 在德国进行的一项定量调查
Doreen Kuschick1, Marius Tibor Dierks2, Ulrike Grittner3
1Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of General Practice and Family Medicine, Charitéplatz 1, Berlin, 10117, Germany. doreen.kuschick@charite.de.
BMC primary care
|November 25, 2023
概括
患者对医疗实践助理 (MPA) 持开放态度,在一般实践中承担更多的任务,特别是在理论咨询方面. 然而,根据患者的年龄和医疗问题的复杂性,接受程度会有所不同.
科学领域:
- 一般的做法一般的做法
- 医疗保健管理的管理
- 患者护理模式的模型
背景情况:
- 一般诊所的工作量不断增加,需要创新的护理模式.
- 从全科医生 (GPs) 到医疗实践助理 (MPAs) 的任务委托是一个潜在的解决方案.
- 关于患者愿意接受MPAs的专属治疗的数据有限.
研究的目的:
- 在德国的一般实践中调查患者接受将任务委托给MPA的情况.
- 确定影响患者愿意接受MPA与全科医生治疗的因素.
主要方法:
- 在德国三个联邦州的61个全科医院中对1861名患者进行了横截面调查.
- 自主设计的纸质问卷,评估任务委托的接受.
- 描述性和多变量分析,包括混合二进制物流回归模型.
主要成果:
- 30%的患者会考虑仅使用MPA治疗当前问题;超过50%的患者是出于理论原因.
- 年轻的患者和那些没有那么复杂的问题的人表现出对MPAs的接受度更高.
- 患者更喜欢一般医生急性投诉,例行检查,以及新的和已知的问题.
结论:
- 患者接受将更多的任务委托给MPA是显而易见的,但取决于背景.
- 理论和个体场景之间的接受差异突显了特定背景的重要性.
- 建议进行进一步的干预研究,以探索扩大可委托任务的影响.
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