针对多种长期疾病的初级保健研究议程:德尔菲研究
Jonathan Stokes1, Peter Bower2, Susan M Smith3
1MRC/CSO Social and Public Health Sciences Unit, School of Health and Wellbeing, University of Glasgow, Glasgow, UK; NIHR School for Primary Care Research, Centre for Primary Care and Health Services Research, University of Manchester, Manchester, UK.
研究人员确定了初级保健中多重长期疾病 (MLTC) 研究的重点优先事项. 该研究建立了一个共识议程,重点关注护理模型和数据开发,以满足复杂的患者需求.
科学领域:
- 初级护理研究初级护理研究
- 多发病性疾病研究.
- 医疗服务研究 医疗服务研究
背景情况:
- 多重长期疾病 (MLTC) 或多重疾病是全球研究的优先事项.
- 确立了MLTC研究的患者和资助者优先级,但学术初级保健优先级没有.
- 初级保健机构管理大多数MLTC患者.
研究的目的:
- 确定和优先考虑MLTC的学术初级保健研究议程.
- 建立一个以共识为导向的关于初级保健中的多病症的研究议程.
- 以指导未来的研究资金和计划在MLTC.
主要方法:
- 这是一项三阶段研究,涉及来自英国和高收入国家的初级保健MLTC研究人员.
- 利用了一个开放式调查,一个面对面的研讨会,和一个两轮的德尔菲共识调查.
- 涉及25名初始调查受访者,18名研讨会参与者,50名Delphi第一轮和27名第二轮参与者.
主要成果:
- 最初产生了84个研究问题,通过研讨会讨论减少到31个.
- 通过Delphi调查,十个优先研究问题达成了共识.
- 共识问题集中在解决患者的复杂性,开发新的护理模式,并推进方法和数据.
结论:
- 确定的研究问题为未来的MLTC拨款呼吁和研究计划提供了基础.
- 解决MLTC患者的复杂性对于改善护理系统和疾病预防至关重要.
- 这一优先级议程将为学术初级保健多病症的未来研究方向提供信息.
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