患者报告说,名单中的初级保健医生和专家之间有很高的信息协调:一个横截面研究
Bahram Rahman1,2, Glenda Babe3, Lauren E Griffith2
1Physician and Provider Services Division, Ministry of Health, Toronto, Ontario, Canada.
PloS one
|August 22, 2024
概括
初级保健医生和专家之间的患者信息协调通常很高. 然而,某些组和增强的服务费模式显示协调较差,影响了患者护理的连续性.
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
- 卫生信息交换健康信息交换
背景情况:
- 初级保健医生和专家之间的有效信息协调对于无的患者护理至关重要.
- 沟通上的差距会导致护理的分散和健康状况不佳.
- 了解患者对信息流的看法对于改善医疗保健系统至关重要.
研究的目的:
- 描述患者与初级保健和专业医生之间的信息协调的经验.
- 检查患者报告的协调经验与个人/初级保健特征之间的关联.
- 确定影响安大略省卫生信息交换质量的因素.
主要方法:
- 横截面研究将基于人口的卫生行政数据与医疗保健经验调查 (2013-2020) 联系起来.
- 包括最近接受初级保健和专家诊所的安大略省居民.
- 对社会人口统计,医疗保健利用情况和患者报告的协调措施的分析.
主要成果:
- 总体而言,患者报告的信息协调在初级保健和专家之间是很高的.
- 7.5%的专家报告缺乏基本的访问信息;14.9%的初级保健医生报告不了解专家护理.
- 女人,年轻人,大学受过教育的人,以及走进诊所的使用者报告说,协调能力较差.
结论:
- 虽然总体上是好的,但信息协调的挑战仍然存在,特别是在特定的患者人口统计学方面.
- 与家庭健康团队相比,增强的服务费模式显示,与家庭健康团队相比,缺乏基本访问信息的专家的几率更高.
- 在初级保健模型和初级保健医生对所接受的专业护理的认识之间没有发现显著的关联.
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