在COVID-19期间,在比利时的初级保健实践中开展外展工作:来自跨部分PRICOV-19研究的结果
Dorien Vanden Bossche1, Esther Van Poel2,3, Pierre Vanden Bussche2,3
1Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, 9000, Ghent, Belgium. dorien.vandenbossche@ugent.be.
BMC primary care
|April 3, 2024
概括
在COVID-19期间进行外展工作的全科医生 (GPs) 在与支持人员的小组实践中更有效. 社会脆弱的患者群体需要针对初级保健实践 (PCP) 量身定制的外展策略.
科学领域:
- 主要护理医学 医疗保健
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在COVID-19期间和之后,全科医生对弱势群体至关重要.
- 一般医生在履行他们的外联角色时面临挑战.
- 这项研究调查了影响疫情期间初级保健实践外展的影响因素.
研究的目的:
- 检查实践特征,患者人口特征和区域剥夺与COVID-19大流行期间初级保健实践 (PCP) 开展的外展工作水平之间的关联.
主要方法:
- 来自国际PRICOV-19研究 (2020年12月至2021年8月) 的比利时数据分析.
- 在线调查分发给PCP,通过随机和便利抽样收集数据.
- 对四个外展工作指标进行顺序后勤回归分析,根据实践类型,教学地位,辅助人员,患者的社会脆弱性,医疗复杂性和区域剥夺指数进行调整.
主要成果:
- 团队实践类型和护士,社会工作者或健康促进者的存在与更多的外展工作有显著的关联.
- 患者群体中较高的社会脆弱性与更大的外展努力相关.
- 社会脆弱性对外展的影响因患者的医疗复杂性和市政贫困水平而异.
结论:
- 一般医生和多学科支持人员 (护理,社会工作,健康促进) 之间的小组合作在COVID-19大流行期间促进PCP推广.
- 提高PCP宣传效率需要在实践层面解决组织因素.
- 应特别注意服务于社会脆弱患者群体的PCP.
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