紧急医生与防御医学的经验,以及他们采取防御行动的动机 - - 采访研究
Thorbjørn Hougaard Mikkelsen1, Mikkel Brabrand2, Anne Friesgaard Christensen3
1PhD, MSc (Soc.), Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
紧急医生进行许多测试,但很少有被标记为防御医学 (DM). 准则和患者流动可能会推动防御医学实践,可能会超越临床判断.
科学领域:
- 医学实践 医学实践
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
背景情况:
- 防御医学 (DM) 是一个不断增长的研究领域.
- 了解医生对DM的看法至关重要.
研究的目的:
- 调查紧急医生对防御医学的理解.
- 确定练习防御医学背后的动机.
主要方法:
- 使用焦点小组采访进行定性研究.
- 探索与DM理解和实践相关的主题.
主要成果:
- 医生进行了大量的测试,但很少有人明确确定为DM.
- 动机包括自信,诊断确定性,患者流动,指导方针和对投诉的恐惧.
- 患者发起的DM和部门设置影响实践.
结论:
- 紧急医生进行广泛的测试,有限的自我识别为DM.
- 以指导方针为导向,流量优化测试可能掩盖防御性做法.
- 流量优化有时会取代临床推理,促进DM.
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