患者对以人为中心和综合性慢性护理的体验,重点关注社会经济地位较低的患者:一种定性研究
Hester E van Bommel1, Lena Ha Raaijmakers2, Maria Etc van den Muijsenbergh3
1Radboud University Medical Center, Research Institute for Medical Innovation, Department of Primary and Community Care, Nijmegen and Pharos, Dutch Centre of Expertise on Health Disparities, Utrecht, the Netherlands h.vanbommel@pharos.nl Hester.VanBommel@radboudumc.nl.
概括
一种以人为中心的综合护理 (PC-IC) 方法改善了慢性病患者的体验,特别是那些社会经济地位低的患者. 根据患者的能力量身定制沟通和材料是这种综合护理模式的关键.
科学领域:
- 初级护理研究初级护理研究
- 医疗服务研究 医疗服务研究
- 以患者为中心的护理.
背景情况:
- 标准的疾病管理计划可能无法满足低社会经济地位 (SES) 患者的需求.
- 一种以人为中心的综合护理 (PC-IC) 方法通过专注于个体患者需求提供了一个潜在的解决方案.
研究的目的:
- 评估基于一般实践的PC-IC方法对患有慢性疾病的患者的可接受性.
- 确定必要的修改,以便将PC-IC定制为低SES患者.
主要方法:
- 在七个荷兰一般实践中进行的定性可行性研究.
- 通过重点小组和46名患者的采访收集的数据,其中包括31名低SES患者,超过6个月.
主要成果:
- 患者报告了PC-IC方法的积极经验,感觉被倾听和个人认可.
- 低SES患者的关键适应包括简化材料和医疗保健专业人员的沟通培训.
结论:
- 对于慢性病患者来说,PC-IC方法是有益的,当它适应他们的特定技能和能力时.
- 建议进行特定的修改,以提高PC-IC对低SES患者的有效性.
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