粮食不安全:医生的观点,查和沟通
Sally Heaberlin1, Kelly Skelly2, Marcy Rosenbaum1
1University of Iowa Carver College of Medicine, Iowa City, IA.
PRiMER (Leawood, Kan.)
|September 6, 2024
概括
初级保健医生经常发现粮食不安全问题 (FI) 难以讨论,导致错过了识别有风险患者的机会. 解决查障碍和改善沟通策略对于有效的患者护理至关重要.
科学领域:
- 医学实践 医学实践
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 粮食不安全是健康的重要社会决定因素.
- 初级保健医生在临床环境中识别和解决FI可能面临挑战.
- 医生对FI查的看法对于改善患者护理至关重要.
研究的目的:
- 探索初级保健医生对食品不安全查的观点.
- 识别与FI查相关的决策过程,沟通策略和障碍.
- 了解医生的经验和态度,以解决FI与患者.
主要方法:
- 一项探索性研究调查了爱荷华州研究网络 (IRENE) 的初级保健医生.
- 该调查包括关于FI查经验的结构化和开放式问题.
- 用专题和描述性分析来解释提供者的观点.
主要成果:
- 虽然大多数医生观察过FI,但有27%从未观察过FI.
- 查决策通常是由患者的对话促成的;关键障碍包括时间限制和缺乏资源.
- 医生们报告了积极的患者互动,并分享了有效的沟通技巧.
结论:
- 医生的态度和做法揭示了FI查中的差距和机会.
- 了解这些观点可以指导改善一致和有效的FI查的努力.
- 解决障碍可以加强FI评估在日常初级保健中的整合.
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