在以团队为基础的初级医疗保健诊所 (加拿大) 中,患者获得和连续性经验的概括模式:潜伏类分析
Nadia Deville-Stoetzel1, Isabelle Gaboury2, Djamal Berbiche3
1Department of Community Health, Université de Sherbrooke, 150 Place Charles-Le Moyne, Room 200, Longueuil CampusLongueuil, QC, J4K 0A8, Canada. nadia.deville-stoetzel@usherbrooke.ca.
某些患者群体面临着主要医疗保健接入和连续性的重大障碍. 移民状况,教育和慢性疾病等因素影响这些体验,突出了针对性干预的需求.
科学领域:
- 初级医疗保健研究 研究初级医疗保健研究
- 医疗保健服务研究 医疗服务研究
- 卫生公平研究 卫生公平研究
背景情况:
- 获得初级医疗保健对于减少健康不平等至关重要.
- 特定的患者群体在获得护理方面面临不成比例的障碍.
- 这项研究考察了患者在团队基础初级保健中获得和连续性的体验.
研究的目的:
- 在以团队为基础的初级保健中,根据访问和连续性经验识别患者的个人资料.
- 探索这些个人资料与个人/组织特征之间的关联.
- 为改善初级医疗保健可访问性和连续性的战略提供信息.
主要方法:
- 在北克初级保健诊所的87,155名成年患者中进行了横截面电子调查.
- 隐藏类分析以根据九个访问/连续性组件识别患者个人资料.
- 多项逻辑回归用于分析与社会人口统计学,健康状况和临床特征的关联.
主要成果:
- 确定了四个患者档案:"容易访问和连续性" (42%),"具有挑战性的预订" (32%),"具有挑战性的连续性" (9%) 和"访问和连续性的障碍" (16%).
- 女性性别和不良的健康感觉增加了所有困难配置文件的风险.
- 移民身份,教育程度低,诊所规模大与预订困难有关.
- 慢性疾病和心理健康不佳与连续性困难有关.
结论:
- 个人的社会和健康特征显著影响医疗保健的获取和连续性.
- 移民身份,教育,慢性疾病和心理健康是关键的风险因素.
- 建议包括针对预约,专业间合作和改善护理协调的有针对性的支持.
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