初级保健医生对糖尿病病自动化科电子咨询的看法:实施前的定性研究
Chi D Chu1,2,3, Daniel Dohan4, Michelle M Estrella5,6
1Department of Medicine, University of California, San Francisco, San Francisco, CA, 94110, USA. Chi.Chu@ucsf.edu.
BMC primary care
|June 4, 2024
概括
初级保健提供者认为,主动电子咨询 (e-consults) 对糖尿病病 (DKD) 护理有潜在的好处. 解决有关工作量和框架电子咨询的担忧,因为系统改进可以促进实施.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 主要护理医学 医疗保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 许多患有糖尿病病 (DKD) 的患者没有接受指南推的治疗.
- 积极的电子咨询 (e-consults) 可以改善早期DKD护理的专家指导.
研究的目的:
- 探索初级保健提供者 (PCP) 关于障碍和促进者的观点,为DKD护理提供积极的电子咨询计划.
主要方法:
- 在三个卫生系统中与18名PCP进行了半结构化的定性访谈.
- 利用快速的定性分析方法来确定主题和子主题.
主要成果:
- 医务人员确定了在提供指南推的DKD护理方面存在的挑战,并支持电子咨询概念.
- 关键主题包括感知到的好处 (教育,专家访问),担忧 (工作量,判断) 和利用护理团队 (药剂师).
结论:
- PCP认识到DKD护理主动电子咨询的好处和障碍.
- 实施策略包括涉及支持人员,并将电子咨询作为系统改进来缓解担忧.
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