在加拿大长期护理院建立初级保健医生承诺:修改的e-Delphi研究的协议
Darly Dash1, Maya Potter2, Henry Yu-Hin Siu3
1Department of Health Research Methods, Evidence, and Impact, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
BMJ open
|February 7, 2025
概括
建立加拿大初级保健医生在长期护理院的承诺标准对于改善居民护理质量至关重要. 这项研究旨在就定义医生在这种环境中的承诺达成共识.
科学领域:
- 提供医疗保健服务.
- 老年医学 老年医学
- 医疗实践管理的管理.
背景情况:
- 加拿大长期护理 (LTC) 家庭的初级保健医生 (PCP) 的承诺是不一致的.
- 缺乏对PCP参与的标准化期望可能会影响护理质量和居民健康结果.
- 通过实践比例,居民负载和每次遭遇的时间来理论化定义PCP承诺.
研究的目的:
- 建立对加拿大长期护理机构中初级保健医生的承诺期望的共识.
- 制定一个加拿大标准,用于PCP参与LTC家庭.
- 在LTC提供医疗护理的最佳实践.
主要方法:
- 一个经过修改的两轮e-Delphi研究协议,以RAND和ACCORD方法为指导.
- 招聘泛加拿大专家在LTC医疗保健提供.
- 文献审查以生成候选人关于PCP承诺的陈述,随后是在线问卷和虚拟同步会议.
主要成果:
- 研究协议概述了一个严格的共识建设过程.
- 专家小组的意见将通过代问卷和讨论来收集.
- 这些发现将导致一套明确的基于共识的对PCP承诺的预期.
结论:
- 关于PCP承诺期望的共识对于加拿大LTC家庭的护理标准化至关重要.
- 这项研究将有助于改善LTC居民的护理质量和健康结果.
- 建立的共识将为未来的政策和实践准则提供基础.
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