老年患者入院的决策:从多个利益相关者的角度进行主题分析
Ryuichi Ohta1, Toshihiro Yakabe2, Chiaki Sano3
1Community Care, Unnan City Hospital, Unnan, JPN.
Cureus
|February 9, 2024
概括
农村地区老年患者的住院决定涉及复杂的医疗,社会和心理因素. 了解这些影响对于更好的以患者为中心的护理至关重要.
科学领域:
- 老年学是一门学科.
- 农村卫生 农村卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 农村医疗保健系统面临着老龄化人口日益增长的需求.
- 了解影响老年患者入院的因素对于有效的护理提供至关重要.
研究的目的:
- 探索影响老年患者入院决定的医疗,社会和心理因素.
- 从日本农村环境中的医生,患者和家庭的角度了解这些因素.
主要方法:
- 对与医生,多次入院的老年患者及其家属进行的半结构化采访进行了定性主题分析.
- 在日本云南市医院进行,由家庭医学,公共卫生和社区卫生保健专家组成的研究小组.
主要成果:
- 确定了三个关键主题:医疗和社会入院之间的困境,对于老年人的不可预测健康变化而入院的风险效益分析,以及社会因素 (生活环境,心理社会背景) 的影响.
- 医生经历医学培训和社会需求之间的冲突,导致压力.
- 社会决定因素与临床适应症一起,显著影响入学决策.
结论:
- 强调需要在医学教育和实践中采取整体方法,特别是在农村环境中.
- 强调将生物心理社会方面纳入老年患者住院决策的重要性.
- 倡导以患者为中心的护理,以解决农村医疗环境的独特挑战.
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