对患有多动症的年轻人提供初级保健:多视角的定性研究
Rebecca Gudka1, Kieran Becker1, John Ward2
1University of Exeter Medical School, University of Exeter, Exeter.
概括
英格兰的初级保健机构努力支持患有注意力缺陷多动障碍 (ADHD) 的年轻人. 改善ADHD管理,医疗保健工作者支持和患者调整可以提高获得有效治疗的机会.
科学领域:
- 神经发育障碍 神经发育障碍
- 医疗保健管理的管理
- 定性研究是指质量研究.
背景情况:
- 注意缺陷多动性障碍 (ADHD) 是一种流行的神经发育障碍.
- 英国的初级保健对ADHD管理至关重要,但一般医生经常觉得没有得到支持.
- 缺少ADHD的医疗保健给患者和社会带来了巨大的成本.
研究的目的:
- 为了调查年轻人与ADHD的经验,在英格兰获得初级保健.
- 收集有过ADHD经验的个人和医疗保健专业人员 (HCP) 的观点.
主要方法:
- 使用半结构面试进行的定性研究.
- 参与者包括医疗保健人员 (全科医生,实践经理,福利工作者) 和患有多动症和多动症的年轻人 (16-25岁) 以及他们的支持者.
- 用反射主题分析在批判现实主义框架内分析数据.
主要成果:
- 采访了20名参与者 (11名医疗保健工作者,9名生活经验) 揭示了三个主题.
- 关键主题:一个紧张的医疗保健系统,ADHD需求与医疗保健结构之间的不兼容性,以及改善的建议策略.
- 这些发现突显了当前ADHD初级保健服务的挑战.
结论:
- 建议在初级保健中标准化ADHD的管理.
- 加强医疗保健人员的信息和支持至关重要.
- 建议ADHD患者进行合理的调整,可以改善治疗机会.
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