在安全网卫生系统中实施严重疾病护理计划:质量研究
Justin J Sanders1, Emily Benotti2, Carolina Jaramillo3
1Ariadne Labs (J.J.S., E.B., C.J., B.S., N.D., N.S.M., E.F., J.P.), Boston, MA, USA; McGill University (J.J.S.), Montreal, QC, Canada.
Journal of pain and symptom management
|May 30, 2024
概括
在服务不足的社区实施严重疾病护理计划面临着独特的挑战和障碍. 然而,使命驱动的努力和专业间的实践可以实现成功,解决边缘化群体未得到满足的需求.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学沟通 医学沟通
- 健康 公平 卫生 公平
背景情况:
- 严重疾病的质量改善干预措施往往无法达到边缘化和服务不足的人群.
- 严重疾病对话改善了护理,但它们在服务于这些群体的系统中的实施尚未得到充分研究.
研究的目的:
- 探索影响严重疾病护理计划在服务于边缘化和服务不足社区的卫生系统中的实施因素.
主要方法:
- 使用16次采访和3个重点小组与19个跨学科团队成员进行定性研究.
- 从六个不同的美国医疗保健系统收集的数据.
- 模板分析带有诱导和演编码来识别主题.
主要成果:
- 关键主题包括患者因素,干预要素和卫生系统背景.
- 推动者:以使命为导向的努力,创造力,跨专业实践,实习生.
- 障碍:严重疾病对话指南限制,资源限制,社会经济脆弱性,不信任.
结论:
- 服务于边缘化社区的卫生系统面临着不同的挑战,并拥有独特的资产来实施严重疾病护理计划.
- 在资源较低的环境中实施此类计划可以解决服务不足人群的未满足需求.
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