包容性健康小组的GP访问:观点和建议
Aaminah Verity1, Victoria Tzortziou Brown2
1Wolfson Institute of Population Health, Queen Mary University London, London, UK.
BJGP open
|March 6, 2024
概括
在流行病后,获得全科医生 (GP) 护理对健康人口的包容性仍然具有挑战性. 这项研究突出了持续存在的障碍,并提出了改善弱势群体GP接入的建议.
科学领域:
- 初级医疗保健医学 一级医疗保健医学
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 一般实践已经广泛采用远程咨询和分拣系统.
- 关于这些变化对包容健康人群的影响的证据有限.
研究的目的:
- 从有实践经验的个人的角度探索流行病后的全科医生 (GP) 获得包容性健康人群的机会.
- 确定实用的建议,以加强GP访问这个脆弱的人口.
主要方法:
- 在伦敦东部的13个实践中进行了一项混合方法研究.
- 一个神秘购物者练习涉及39个面对面的访问和13个电话.
- 一个多学科的利益相关者小组对发现进行了反思,以确定建议.
主要成果:
- 只有31%的神秘购物者访问导致注册和紧急GP预约.
- 没有通过电话预订预约,尽管10/13购物者认为如果受到指导,他们可以.
- 大多数购物者感到受到尊重和理解; 46%的实践有可访问和支持的空间.
结论:
- 总医生 (GP) 获得包容性健康人群的持续挑战被确定.
- 制定了实践和系统层面的建议,以改善这个弱势群体的获取.
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