"我不想回家"患者确定的可修改的风险因素与医院再入院相关:一种定性研究
Holly Wilson1, Liesje Donkin2, Jeff Harrison1
1School of Pharmacy, The University of Auckland, Auckland, New Zealand.
Psychology & health
|August 21, 2024
概括
了解患者对健康信仰和经验的看法是减少昂贵的医院再入院的关键. 解决沟通和健康素养等因素可以改善患者护理和结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 医院再入院对患者,家庭和医疗保健系统造成了巨大的成本.
- 确定可修改的风险因素对于降低再接收率至关重要.
- 患者的健康信仰和观点在再接收风险因素研究中未得到充分研究.
研究的目的:
- 从患者的角度确定医院再入院的可修改风险因素.
- 通过患者和家庭的经验,探索再接收风险因素的复杂性.
主要方法:
- 半结构面试对30天内重新入院的成年患者进行了半结构面试.
- 参与者来自新西兰一家大型城市医院的普通医疗或外科病房.
- 诱导性主题分析用于分析采访数据.
主要成果:
- 六个关键主题出现了:沟通不足,患者和医疗服务提供者对疾病感知的不协调,信息不清晰,健康素养不佳,药物管理不善以及卫生系统因素.
- 30名参与者接受了采访,对他们的再入院经历提供了丰富的见解.
- 以患者为中心的因素显著影响了再录取.
结论:
- 患者对疾病和治疗的经验,期望和信念对于减少再入院至关重要.
- 实施以患者为中心的沟通和培养强大的专业患者关系可以减少医院再入院.
- 解决已识别的可修改风险因素可以提高医疗保健系统的效率和患者的结果.
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