在一般实践中改善个人连续性:焦点小组研究研究
Lex Jj Groot1, Esther Janssen2, Marjan J Westerman3
1Department of General Practice, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam and Aging and Later Life, Amsterdam Public Health, Amsterdam, the 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. 加强团队沟通和保持GP可访问性是改善护理连续性的关键,特别是对于老年患者.
科学领域:
- 一般的做法一般的做法
- 医疗保健管理的管理
- 患者护理的连续性
背景情况:
- 一般实践中的个人连续性提高了护理质量,降低了死亡率.
- 社会和医疗保健的变化挑战了个人连续性,不成比例地影响了老年患者.
- 不连续的护理对老年人产生负面影响.
研究的目的:
- 探索在一般实践中改善个人连续性的观点.
- 识别障碍物和促进者,以提高个人连续性.
- 了解全科医生,老年患者,执业护士和助理的角色.
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) 和实践护士 (n=2).
- 对焦点组数据进行反思性的专题分析.
主要成果:
- 个人连续性是团队的努力,不仅仅是GP的责任.
- 改善连续性包括加强团队沟通,利用电子健康记录,并确保弱势老年患者的GP可访问性.
- 障碍存在于个人,组织 (例如,人员短缺) 和社会层面 (例如,支付系统) 的层面.
结论:
- 一般实践正在转向以团队为基础的护理,以保持个人连续性.
- 改善个人连续性的努力应该支持这种以团队为基础的模型.
- 专注于以团队为基础提供持续护理是必不可少的.
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