医院临床交付不足对昆士兰大都市全科医生的影响:一项定性研究
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Updated: Jun 18, 2025

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Kate Johnston1, Joan Cassimatis2, Laetitia Hattingh3
1MBBS, FRACGP, AFRACMA, MHLM, Medical Director, GP Partnerships and Engagement, Gold Coast Health, Gold Coast, Qld.
Australian journal of general practice
|August 5, 2024
概括
从医院向全科医生 (GP) 进行不良的临床转移会造成患者安全风险和丧. 在护理过渡期间的不充分沟通会影响GP的工作量和专业的尊重,导致潜在的患者伤害.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
- 一般的做法一般的做法
背景情况:
- 从医院到社区护理的过渡是患者安全的关键时刻.
- 从医院向全科医生 (GP) 进行不充分的临床转移与医疗错误,不良事件和再住院有关.
- 了解不良交付对全科医生的影响对于改善护理连续性至关重要.
研究的目的:
- 调查不良临床交付对全科医生的影响.
- 探索从住院,门诊和急诊部设置中接收临床信息的全科医生的经验.
主要方法:
- 定性方法采用半结构面试,对有目的地选择的全科医生进行面试.
- 面试继续进行,直到数据和,确保全面的主题探索.
- 用专题分析和编码来分析采访数据.
主要成果:
- 临床交接期间的沟通不良成为一个重要主题,引发了患者安全问题.
- 一般医生报告说,不充分的交付流程消耗了可以用于患者护理的宝贵时间.
- 一个值得注意的主题是,全科医生经历了医院部门缺乏专业尊重.
结论:
- 从医院到全科医院的临床转移仍然是全科医生失望的主要原因.
- 不足够的移交实践表明,人们忽视了GP在持续患者管理中的重要作用.
- 临床转移中的这些缺陷使患者面临不理想健康结果的风险.
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