"具有挑战性,但最终有回报" - - 北爱尔兰深端全科医生的实践经验:一项定性研究
Daniel Butler1, Diarmuid O'Donovan2, Jenny Johnston1
1School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast.
概括
贫困地区的全科医生面临挑战,但发现他们的工作是有回报的. 改善医疗保健准入和社区支持对于改善患者结果和全科医生福祉至关重要.
科学领域:
- 一般的做法一般的做法
- 医疗保健服务研究 医疗服务研究
- 健康的社会经济决定因素
背景情况:
- 社会经济贫困地区与较差的健康状况和较短的寿命有关.
- 这些领域的全科医生面临着独特而重大的挑战.
- 这些挑战影响了患者护理和医疗保健专业人员的经验.
研究的目的:
- 探索驱使全科医生在社会经济上贫困的环境中工作的动机.
- 识别和理解这些领域的全科医生面临的具体挑战.
- 收集全科医生关于患者护理和其专业经验的潜在改进的见解.
主要方法:
- 对全科医生的实践经验进行解释性现象学分析.
- 与北爱尔兰最贫困地区的9名全科医生进行了定性访谈.
- 探讨"深端"一般实践的挑战,动机和建议解决方案.
主要成果:
- 一般医生面临的挑战是医疗服务失败,需求增加和无能感.
- 患者群体的复杂性包括'失踪',迟到的呈现,高度医疗化和普遍的心理健康问题.
- 一般医生受到临床刺激的环境,归属感和对社区的责任的激励,尽管存在困难.
结论:
- 解决环境状况,赋予个人权力和投资社区对于健康至关重要.
- 目前的反应性急性护理模式,有助于GP在贫困地区的无能感.
- 加强灵活的接入,心理健康服务和全科医生培训/招聘是关键建议.
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