多病症和患者与全科医院的经验:挪威的一项全国横截面调查
Rebecka Maria Norman1, Elma Jelin2, Oyvind Bjertnaes2
1Norwegian Institute of Public Health, PO Box 222, Skøyen, Oslo, NO-0213, Norway. rebecka.norman@fhi.no.
BMC primary care
|July 10, 2024
概括
患有慢性病症的患者报告说,一般诊所的经验较差,特别是在支持和护理连续性方面. 量身定制的支持对于改善多病症护理中的患者体验至关重要.
科学领域:
- 医疗保健 质量 研究 研究
- 一般实践管理的管理.
- 患者报告的结果
背景情况:
- 患者体验是医疗保健质量的一个关键指标.
- 多病症与不良健康结果和医疗保健利用率的增加有关.
- 一般医生 (GPs) 在管理患有慢性疾病和多病症的患者方面起着至关重要的作用.
研究的目的:
- 将患者报告的经验与一般实践进行比较.
- 评估患有慢性病/多重病症患者与没有慢性病/多重病症患者之间的差异.
- 确定复杂健康需求的患者关注的具体领域.
主要方法:
- 2021年全国患者体验调查的二次分析 (n=7,912).
- 使用挪威患者与GP问卷 (PEQ-GP) 的四个尺度对患者体验的评估.
- 双变量,多变量和确认因素分析 (CFA),包括测量不变性的多组CFA. 还进行了自由文本评论的情绪和内容分析.
主要成果:
- 患有慢性病的患者报告说,与没有慢性病的患者相比,全科医生和实践规模的体验得分较低.
- 观察到最强的负面关联是"授权",其次是"GP"和"实践"等级.
- 自由文本评论强调了咨询时间,护理连续性和多病症患者的患者-GP关系的重要性.
结论:
- 医疗保健系统需要为患有慢性疾病和多病症的患者提供量身定制的支持.
- 解决多病症患者的特殊需求对于提高全科医院的质量至关重要.
- 确保测量不变性证实了经验的真实差异,而不是测量偏差.
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