解开患者对社会需求查的看法:西科罗拉多州初级保健实践中的混合方法研究
Elena T Broaddus-Shea1, Andrea Jimenez-Zambrano2, Brooke Dorsey Holliman2
1Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA; Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Patient education and counseling
|May 12, 2024
概括
解释与健康相关的社会需求查可以提高患者的舒适度和感知到的帮助力. 有更多需求的患者报告说,舒适度较低,这凸显了对过去经历敏感的需要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 定性和定量研究方法 定性和定量研究方法
- 患者体验 患者体验
背景情况:
- 针对与健康相关的社会需求 (HRSN) 的查在初级保健中越来越普遍.
- 了解患者对HRSN查的看法对于有效实施至关重要.
研究的目的:
- 探索影响患者舒适度的因素和对HRSN查的感知帮助.
- 确定积极查经验的实践和患者层面的决定因素.
主要方法:
- 混合方法分析了来自三个初级保健诊所的511名患者的数据.
- 后勤回归检查了实践和患者层面的因素.
- 对20个患者采访的叙事分析探索了生活经验.
主要成果:
- 解释查增加了舒适度 (OR 2.1) 和感知到的帮助性 (OR 4.7).
- 有更多需求的患者报告说,舒适度较低 (或0.2对于3+需求而不是0).
- 污名化经验和关系质量影响了人们的看法,尤其是对那些有广泛需求的人来说.
结论:
- 实践层面的因素 (解释,关系) 和患者层面的因素 (病史,需要的程度) 显著影响查感知.
- 清晰的沟通有利于所有患者.
- 对过去经历的敏感性对于具有广泛社会需求的患者至关重要.
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