一般医生对紧急护理治疗计划的看法:在线调查
Martin Underwood1,2, Angela Noufaily3, Hazel Blanchard4
1Warwick Medical School, University of Warwick, Coventry, UK m.underwood@warwick.ac.uk.
BJGP open
|January 8, 2024
概括
一般医生 (GPs) 发现推的紧急护理和治疗总结计划 (ReSPECT) 计划有助于讨论紧急护理. 更广泛地使用这些计划需要解决挑战并加强审查系统.
科学领域:
- 一般实践 一般实践
- 紧急医疗 紧急医疗
- 医疗保健政策 医疗保健政策
背景情况:
- 整体的紧急护理规划需要纳入患者的偏好.
- 紧急护理和治疗计划 (ECTP) 旨在满足这一需求.
- 关于在一般实践环境中使用ECTP的理解有限.
研究的目的:
- 调查全科医生 (GPs) 关于使用ECTPs的经验和观点.
- 在英语的一般实践中评估ECTP采用现有的格局.
主要方法:
- 一项在线调查分发给在英国执业的全科医生.
- 这项由 medeConnect 推动的调查覆盖了 841 名全科医生.
- 数据分析的重点是报告的不同ECTP格式的使用情况以及相关的舒适度.
主要成果:
- 41%的诊所使用了RESPECT计划,8%使用了其他ECTP,51%使用了不要尝试心肺复苏 (DNACPR) 形式.
- 一般医生主要在社区完成ECTP,支持更广泛的专业参与.
- 使用ReSPECT计划的全科医生报告说,与DNACPR表格相比,与患者和家人讨论紧急护理的舒适度增加了.
结论:
- 需要考虑扩大启动和完成ECTP的专业范围的好处和挑战.
- ReSPECT计划似乎提高了GP与ECTP讨论的舒适性,有助于其实施.
- 建议加强基于实践的审查ECTP决策系统.
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