什么是良好的一般实践咨询? 一项探索性试点研究,涉及来自低社会经济背景的人
Naomi MacPherson1, Binh Ta1, Lauren Ball2
1School of Primary and Allied Health Care, Monash University, Melbourne, Australia.
BJGP open
|February 8, 2024
概括
来自低社会经济背景的患者重视与强大的沟通技巧和积极的人际特征的全科医生 (GPs) 进行护理的连续性,以获得更好的咨询体验.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 健康的社会经济决定因素
背景情况:
- 来自低社会经济地位 (SES) 背景的患者面临更高的慢性疾病风险,并且与较高SES群体相比,报告了较差的全科医生 (GP) 咨询经验.
- 现有的研究缺乏对GP行为深入的理解,这些行为可以促进低SES患者的积极咨询.
研究的目的:
- 确定来自低SES背景的患者认为对积极的GP咨询体验至关重要的关键因素.
- 探讨在弱势群体的初级保健机构中为患者满意度做出贡献的因素.
主要方法:
- 在澳大利亚墨尔本GP诊所进行的探索性试点研究.
- 采用一种欣赏性调查方法,对9名低SES患者进行半结构面试,审查他们GP咨询的视频录像.
- 利用两个研究人员的感应主题编码来分析定性数据.
主要成果:
- 积极的咨询受到了医生的态度和患者的参与感的影响.
- 一个建立的,合作的治疗关系被患者高度重视.
- 患者的信心和舒适与医生的治疗技能和有效的沟通技巧 (口头和非口头) 有关.
结论:
- 与特定的全科医生持续照顾,表现出良好的沟通和人际交往技巧,这对于低SES患者的积极咨询体验至关重要.
- 这项研究有助于了解低SES个体的初级保健经验和健康不平等.
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