"这是地上的地狱":患有乳病的人对诊断延迟的看法
Sofia Sif Overby Fjorback1, Fiona Ryom Eskildsen1, Line Lund Kårhus1
1Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark.
结核病 (CD) 的诊断往往会因有限的认识和不一致的指导方针使用而延迟. 这种延迟会对患者的福祉和对医疗保健的信任产生负面影响,强调需要改进诊断过程.
科学领域:
- 医学社会学 医学社会学
- 医疗保健服务研究 医疗服务研究
- 胃肠病学 胃肠病学
背景情况:
- 性疾病 (CD) 经常被低诊断,导致诊断的显著延迟.
- 这些诊断延迟对患者的健康和生活质量产生了深刻的,长期的负面影响.
- 对于CD的诊断评估过程的定性方面仍未得到充分研究.
研究的目的:
- 探索正在接受乳病评估过程中的个人的生活经历.
- 确定导致乳病诊断延迟的因素.
- 了解延迟诊断对患者福祉和医疗保健相互作用的影响.
主要方法:
- 该研究采用了主题网络分析方法.
- 通过对被诊断患有乳病的个人进行24次深入采访来收集数据.
- 与诊断评估过程相关的经验是探索的重点.
主要成果:
- 观察到相当大的诊断延迟,长达26年.
- 有助因素包括一般医生和公众对CD的知识有限,症状分类和精神病体解释.
- 诊断延迟导致心理和生理福祉,并发症和对医疗保健系统的不信任减少,患者对自己的诊断负有更大的责任.
结论:
- 在全科医生中提高人们对乳病的认识至关重要.
- 由于CD的临床表现不同,建议一致应用查指南.
- 提高认识和一致的指导方针使用可以减轻来自不同水平的临床医生知识的评估过程中的差异.
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