在一般实践中改善个人连续性:焦点小组研究研究
Lex Jozef Johannes Groot1, Esther Janssen2, Marjan Westerman3
1Amsterdam University Medical Centres, General Practice, Amsterdam, Netherlands.
概括
在一般实践中改善个人连续性需要以团队为基础的方法. 投资团队沟通和保持GP可用性是提高所有患者护理连续性的关键策略.
科学领域:
- 一般的做法一般的做法
- 医疗保健管理的管理
- 患者护理质量 患者护理质量
背景情况:
- 一般实践中的个人连续性对于高质量的护理和降低死亡率至关重要.
- 社会和医疗保健的变化挑战了个人连续性,特别影响了老年患者.
- 不连续的护理会对老年患者的健康状况产生负面影响.
研究的目的:
- 探索GP,患者,护士和助理的观点,以提高个人连续性.
- 在一般实践中识别影响个人连续性改进的障碍和促进者.
主要方法:
- 使用焦点小组进行定性研究 (2019年5月至8月).
- 进行了四个重点小组:全科医生 (n=17),患者 (n=7),实践助理 (n=4) 和护士 (n=2).
- 对焦点组数据进行反思性的专题分析.
主要成果:
- 个人连续性被认为是团队的努力,而不仅仅是GP的责任.
- 改进建议包括加强团队沟通,使用EHR和GP任务委托.
- 在个人,组织和社会层面确定障碍物和促进者.
结论:
- 一般实践正在转向以团队为基础的护理,以确保个人连续性.
- 未来的努力应支持以团队为基础的持续护理服务.
- 专注于团队动态和资源配置对于持续的个人连续性至关重要.
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