退出低价值护理是否会影响患者与临床医生的关系? 一个混合方法的研究研究
Annals of family medicine
|January 25, 2024
概括
减少低价值护理 (LVC) 可能不会损害患者和临床医生的关系. 初级保健医生可以通过优先考虑患者沟通和共享决策,培养信任和满意度来减少LVC.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 以患者为中心的护理
背景情况:
- 低价值护理 (LVC) 在美国很普遍,占医疗保健支出和潜在的患者伤害的很大一部分.
- 主要护理临床医生认为,患者与临床医生关系的潜在负面影响是减少LVC的障碍.
研究的目的:
- 调查低价值护理 (LVC) 需求下降对患者与临床医生的关系的影响.
- 评估患者的满意度和信任度,当没有提供LVC服务时.
主要方法:
- 一项涉及初级保健患者的混合方法研究.
- 参与者在阅读有关 LVC 衰退的片段后,完成了患者与医生的关系问卷 (PDRQ-9).
- 采访探讨了患者的满意度和信任度,当没有订购LVC时.
主要成果:
- 与抗生素或心电图查相比,维生素D查LVC下降与患者与医生关系完整性得分较低有关.
- 超过一半的受访患者认为,不接受LVC不会对他们的满意度和信心产生负面影响.
- 患者强调临床医生的沟通,倾听和可理解的建议在减轻潜在的负面影响方面的重要性.
结论:
- 优先考虑患者与临床医生的关系对于成功的LVC撤销至关重要.
- 减少LVC的干预措施可能对患者与临床医生的关系产生最小的负面影响.
- 患者感知的服务特异性差异在LVC减少策略中需要考虑.
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