患者对苏格兰初级保健多学科团队的看法:混合方法评估
Kieran D Sweeney1, Eddie Donaghy2, David Henderson2
1Usher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, United Kingdom ksweeney@ed.ac.uk.
BJGP open
|April 25, 2024
概括
苏格兰患者对扩大初级保健多学科团队 (MDT) 的认识有限. 虽然重视MDT护理,但许多患者,特别是在多病症的贫困城市地区,不喜欢接待员的标志,阻碍了GP合同目标.
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
- 一般的做法一般的做法
背景情况:
- 2018年苏格兰GP合同显著扩大了初级保健多学科团队 (MDTs),任命了4700多名员工.
- 这一扩张旨在加强初级保健服务提供和患者获取.
研究的目的:
- 调查患者在苏格兰扩大初级保健多学科团队 (MDTs) 的观点.
- 评估患者对不同MDT角色的认识及其对接待员标志等新接入方法的态度.
主要方法:
- 一项混合方法研究,结合了邮政调查和半结构化的电话采访,对苏格兰初级保健患者进行了研究.
- 调查评估了对五个MDT角色的认识和对不同地理区域接待员标志的态度.
- 采访探讨了患者与MDT护理的经验,特别是在多病症患者中.
主要成果:
- 大多数被调查的患者都不知道有特定的MDT角色 (例如,链接工作者,精神卫生护士,药剂师).
- 在贫困的城市地区和多病症患者中,接待员的标志不太受欢迎.
- 虽然大多数受访者报告了积极的MDT护理经验,但它被视为GP护理的补充,而不是替代.
结论:
- 苏格兰的初级保健MDT扩张发生在患者意识较低的情况下,尽管患者认识到潜在的益处.
- 患者对接待员标志的不满,特别是在贫困的城市地区和多病症患者中,构成了重大障碍.
- 解决患者对接入和标志的担忧对于新GP合同目标的成功至关重要.
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