长期COVID接受护理的挑战:初级保健患者对期望和经验的定性访谈研究
Elena Gardner1, Alex Lockrey2, Kirsten L Stoesser2
1University of Utah Family and Preventative Medicine, Salt Lake City, Utah u1368413@utah.edu.
患有长期COVID的患者希望初级保健提供者具有知识和协作能力,但通常会感到被解雇并面临系统导航挑战. 改善护理需要倾听,验证和倡导这些患者.
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
- 主要护理医学 医疗保健
背景情况:
- 初级保健是COVID-19后病情 (长期COVID) 患者的关键入口点.
- 患者对长期COVID护理质量的看法受到代表性不足.
- 了解患者的期望对于改善长期COVID管理至关重要.
研究的目的:
- 分析初级保健患者对长期COVID治疗的期望.
- 为了调查患者寻求长期COVID护理的经验.
主要方法:
- 使用半结构面试的现象学方法.
- 针对长期COVID症状的英语成年初级保健患者进行有目的抽样.
- 无识别转录的诱导性定性内容分析.
主要成果:
- 19次采访揭示了患者对知识博,专注和合作的初级保健从业者 (PCP) 的期望.
- 积极的临床医生互动涉及诚实和验证;负面的经历包括被解雇的感觉.
- 患者在分散的美国医疗保健系统中面临着重大挑战,以获得护理,检测和支付.
结论:
- 长期COVID护理的患者经验往往不符合预期.
- 医疗保健系统中的障碍导致患者丧.
- PCP可以通过积极倾听,验证和倡导患者来改善护理一致性.
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