方便或连续性:患者何时愿意等待见自己的医生?
Gregory Shumer1, Dongru Chen2, John Holkeboer2
1University of Michigan, Michigan Medicine, Ann Arbor, Michigan gdshumer@med.umich.edu.
Annals of family medicine
|March 24, 2025
概括
患者更喜欢看他们的初级保健医生 (PCP) 在大多数访问,即使这意味着更长的等待. 这凸显了PCP连续性在以团队为基础的初级保健环境中的重要性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级医疗保健医学 一级医疗保健医学
- 以患者为中心的护理
背景情况:
- 基于团队的初级保健模式往往优先考虑效率,可能会影响患者的满意度和对护理连续性的看法.
- 有限的研究存在于患者如何平衡获得护理的机会与他们与初级保健医生 (PCP) 连续性的愿望.
研究的目的:
- 评估家庭医学患者在看他们的PCP与其他团队临床医生的偏好.
- 了解基于访问类型和等待时间的护理连续性和及时访问之间的患者权衡.
主要方法:
- 对成年患者进行了一项横截面在线调查.
- 使用加权后勤回归分析来检查患者的偏好,控制人口统计和健康状况.
主要成果:
- 超过一半的患者更喜欢只看到他们的PCP进行年度检查,慢性疾病随访和心理健康随访.
- 大多数患者愿意等待3-4周才能看到他们的PCP,因为敏感的检查,新的心理健康问题或新的慢性疾病问题.
结论:
- 患者非常重视他们的PCP和护理的连续性.
- 研究结果为初级保健领导提供了关于优化调度和以团队为基础的护理交付的指导,以与患者对PCP参与的偏好保持一致.
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