英语和西班牙语喜欢的癌症患者如何决定紧急护理
Arthur S Hong1, Beverly Kyalwazi, Ethan A Halm
1University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390-9169.
The American journal of managed care
|November 15, 2024
概括
新确诊的癌症患者经常使用急诊室 (ED) 由于缺乏对替代护理的认识. 改善患者对瘤急诊诊所和电话分拣的教育对于减少不必要的急救访问至关重要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
背景情况:
- 新确诊的癌症患者经常使用急诊室 (EDs) 进行急性护理,尽管有努力减少此类访问.
- 针对减少ED使用的现有医疗保健提供创新的不足利用情况仍然不明朗.
- 最近使用ED的患者的见解可以揭示护理模式和进入替代服务的障碍.
研究的目的:
- 探索患者对急诊室 (ED) 对于新诊断的癌症患者急性护理需求的患者观点.
- 了解不足使用现有的创新护理提供模式的原因,旨在减少ED访问.
- 确定影响寻求护理决定的以患者为中心的因素.
主要方法:
- 一项定性研究,涉及半结构性采访,对在过去六个月内被诊断患有癌症的患者进行.
- 对来自学术医疗中心和安全网卫生系统的患者进行了采访.
- 使用常态比较方法分析了29个英语和11个西班牙语访谈.
主要成果:
- 大多数患者都不知道,但感兴趣的是,24 / 7电话分拣和瘤急诊诊所.
- 安全网患者,特别是说西班牙语的患者,报告对门诊瘤病组的访问有限.
- 患者没有根据症状严重程度来选择护理地点;对于保险患者来说,成本是一个问题,而ED则是安全网患者的主要医生接入点.
- 积极的ED放电经验无意中鼓励了未来的ED使用.
结论:
- 有效的患者教育创新性癌症护理服务仍然是一个挑战,即使有全面的计划.
- 患者对可避免的急诊室 (ED) 访问的看法可能与政策制定者的定义有很大差异.
- 解决患者意识和访问障碍对于优化护理途径和减少对ED的依赖至关重要.
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