在加纳选定的医院中,获得以患者为中心的护理和患者赋权方面的挑战
Ruby V Kodom1,2, Robert T Netangaheni1
1Department of Health Studies, College of Human Sciences, University of South Africa, Pretoria, South Africa.
Health SA = SA Gesondheid
|December 9, 2024
概括
实施以患者为中心的护理和患者赋权在加纳受到资源限制和地理障碍的阻碍. 解决这些系统性问题对于实现全民健康覆盖至关重要.
科学领域:
- 医疗保健管理的管理
- 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:
- 以患者为中心的护理 (PCC) 和患者赋权 (PE) 对于改善中低收入国家的健康结果至关重要.
- 加纳在实施有效的PCC和PE方面面临重大挑战.
研究的目的:
- 确定影响加纳PCC和PE实施的因素.
- 从患者和医疗保健提供者的角度了解这些因素.
主要方法:
- 定性探索性描述性研究设计.
- 与33名医疗保健提供者进行了深入采访,并与4组患者进行了焦点小组讨论.
- 对收集的数据进行主题分析.
主要成果:
- 出现了三个主要主题:组织,个人和环境因素.
- 资源限制和人员短缺阻碍了PCC.
- 患者代理,沟通,支付能力和地理障碍影响PE和获得护理.
结论:
- 系统范围的干预是必要的,以改善资源分配,沟通和减少障碍.
- 到2030年实现全民健康覆盖 (UHC) 需要解决这些已确定的挑战.
- 背景调查结果对改善类似环境中的医疗服务提供具有重要意义.
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