在急诊室和初级保健实践中,提供者对非特异性背痛病例的看法:一项半结构面试研究
Leo Benning1, Nora Köhne2, Hans-Jörg Busch3
1University Emergency Center, Medical Center - University of Freiburg, Sir-Hans-A.-Krebs-Straße, 79106, Freiburg, Germany. leo.benning@uniklinik-freiburg.de.
International journal of emergency medicine
|September 11, 2024
概括
紧急医生和全科医生对非特异性背痛 (NSBP) 的方法有所不同. 改善初级保健准入和患者教育可以减少对NSBP的不必要的急诊室访问.
科学领域:
- 医学研究 医学研究
- 提供医疗保健服务.
背景情况:
- 紧急诊所面临的挑战是,患者数量大,急症不大,例如非特异性背痛 (NSBP).
- 患有NSBP的患者通常在急诊室寻求护理,而不是初级保健,耗费资源.
- 本研究探讨了在急诊和初级保健机构中诊断和治疗NSBP的提供者观点.
研究的目的:
- 研究紧急医生 (EP) 和全科医生 (GP) 对非特异性背痛 (NSBP) 的诊断和治疗方法.
- 了解提供者对NSBP访问紧急部门的因素的看法.
- 确定优化护理和减少NSBP急诊室利用率的潜在策略.
主要方法:
- 与七名欧洲议员和九名一般医生进行的半结构面试的定性内容分析.
- 面试对象被介绍了一个假设的NSBP案例,以评估他们的诊断和治疗策略.
- 根据COREQ的指导方针,在质量内容分析中达到和度时,招聘停止了.
主要成果:
- EPs表现出不同的方法:一些遵循指导方针,而另一些则使用广泛的诊断和专家咨询.
- 一般医生优先考虑体检,逐步治疗,计划后续检查和患者病史.
- 专科医生和全科医生都提到患者相关的因素 (例如,方便,恐惧) 和医疗保健系统问题 (例如,有限的初级保健准入) 对于ED访问.
结论:
- 需要在年轻的EP中加强准则的遵守,并改善患者对医疗保健结构的理解.
- 改善对初级保健服务的准入和可用性对于减少NSBP的急诊室访问至关重要.
- 优化患者教育和初级保健基础设施可以带来更有效和适当的NSBP护理.
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