德国雇佣的全科医生的核心价值观 - - 定性研究
Leonie Horn1, Charlotte Ullrich1, Leonie Boelter1
1Department of general practice and health services research, University Hospital Heidelberg, Heidelberg University, Heidelberg, Germany.
雇佣的全科医生持有与WONCA定义部分一致的核心价值观,但也表现出新的价值观. 他们的专业实践受到患者护理需求和个人生活考虑的影响.
科学领域:
- 一般的做法一般的做法
- 医疗保健提供 医疗保健提供
- 定性研究是指质量研究.
背景情况:
- 核心价值观指导医疗保健提供,WONCA的欧洲一般实践定义强调整体,全面和持续的护理.
- 传统上,全科医生 (GPs) 经常是实践业主,影响他们的专业价值观.
- 医疗保健的不断变化的格局包括越来越多的雇佣全科医生.
研究的目的:
- 调查雇佣的全科医生的核心价值观.
- 了解这些核心价值观如何在他们的专业实践中表现出来.
- 识别雇佣的全科医生中可能出现的新价值观.
主要方法:
- 进行了17次半结构化的电话采访,与德国巴登 - 特堡的职业全科医生进行了采访.
- 采访发生在2021年4月至5月期间.
- 数据使用定性内容分析来分析.
主要成果:
- 确定了12个核心价值观,包括患者护理和雇佣的全科医生的生活.
- 高度相关的值包括工作满意度,专业距离,协作,综合护理,足够的咨询时间和患者可用性.
- 护理的连续性,等待时间和医疗自主性显示出异质的相关性. "可用性"的价值在患者护理和个人生活之间造成了紧张关系.
结论:
- 雇佣全科医生的核心价值部分与WONCA定义一致,有迹象表明新价值正在出现.
- 随着日益增加的职业全科医生的数量,需要重新评估一般实践的核心价值观.
- 考虑雇佣的全科医生的观点,患者需求和实践组织对于未来的反思至关重要.
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