扩大通用实践与跨专业团队:一个混合方法的患者视角研究研究.
Birgit Abelsen1, Kine Pedersen2, Hanna Isabel Løyland2
1Department of Community Medicine, National Centre for Rural Medicine, UiT The Arctic University of Norway, Postbox 6050 Langnes, 9037, Tromsø, Norway. birgit.abelsen@uit.no.
BMC health services research
|December 1, 2023
概括
患者与跨专业初级医疗保健团队的经验表明,他们对健康有了更好的协调和理解. 一个关键的发现是,可见的全科医生存在可以加强以团队为基础的护理连续性.
科学领域:
- 医疗保健管理的管理
- 初级保健研究研究初级保健研究
- 患者体验研究 患者体验研究
背景情况:
- 当前的卫生政策倡导医疗保健中的跨专业团队合作.
- 跨专业的初级医疗保健团队的目标是比单一专业的全科医生更有效地管理复杂的患者需求.
- 本研究探讨了患者对从全科医生 (GP) 护理向跨专业团队护理的转变的看法.
研究的目的:
- 探索患者与跨专业团队基础初级医疗保健的经验.
- 为了比较患者对专业间护理的看法与传统的GP护理.
- 确定影响患者满意度和团队基础初级保健环境中的连续性因素.
主要方法:
- 对10名患者和4名近亲进行了定性采访.
- 对287名成年初级医疗保健患者进行定量调查.
- 定性数据的专题分析和连续性框架;调查数据的描述性统计.
- 所有参与者都是从单一专业的GP护理过渡到初级医疗保健团队试点的一部分.
主要成果:
- 患者报告说,以团队为基础的护理更协调,提供更多的时间和学习机会.
- 大多数患者都能更好地理解和掌握自己的健康问题.
- 报告指出,信息连续性得到了改善,特别是在多病症和精神病患者中,一般医生和护士之间进行了无沟通.
- 患者对护士的参与和改善护理准入感到满意,并信任全科医生的整体管理.
结论:
- 一般实践中的跨专业团队合作从患者的角度来看,增强了管理,信息和关系的连续性.
- 在团队中有一个明确和现有的全科医生对于成功的跨专业初级医疗保健至关重要.
- 通过初级保健团队的有效合作,以患者为中心的护理得到了加强.
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