错过预约的原因
Rachan Ghandour1, Jeannine M Miranne, Julia Shen1
1From the Division of Urogynecology, Department of OB/GYN, Brigham and Women's Hospital, Boston, MA.
Urogynecology (Philadelphia, Pa.)
|December 23, 2024
概括
由于社区,患者和诊所障碍,患者错过了泌尿后科的预约. 解决运输和安排问题可以改善获得护理的机会.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 获得医疗保健 获得医疗保健 获得医疗保健
- 以患者为中心的护理
背景情况:
- 在子专科护理,特别是泌尿后科,错过的预约是很难理解的.
- 识别障碍对于改善患者的治疗结果和资源配置至关重要.
研究的目的:
- 在一个学术城市多站点泌尿后科实践中调查患者对预约出席的感知障碍.
- 从患者的角度了解导致错过预约的因素.
主要方法:
- 展望性,定性研究,涉及半结构面试的病人错过了预约.
- 使用有目的抽样和诱导编码来分析采访数据.
- 关注社区/环境,患者相关和诊所相关的因素.
主要成果:
- 26名患者完成了采访,确定了3个主要障碍类别.
- 社区/环境障碍 (77%) 包括交通问题 (52%).
- 与患者相关的因素 (62%) 包括家庭义务和个人疾病.
- 与诊所相关的因素 (35%) 涉及安排和时间.
结论:
- 了解错过预约的原因是以患者为中心的泌尿后科护理的关键.
- 诸如运输支持和改进计划等干预措施可以提高护理的可访问性和公平性.
- 未来的研究应该专注于预测算法和有针对性的干预措施.
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