利益相关者广泛支持传统骨架与正式医疗保健之间的合作:在资源有限的环境中进行定性研究
Joost Binnerts1,2, Thom C C Hendriks1, Nneka Buzugbe3
1Radboud University Medical Centre, Nijmegen, The Netherlands.
概括
传统骨架 (TBS) 和医院之间的合作对于在撒哈拉以南非洲治疗四肢骨折至关重要. 一个联合的转诊系统,教育和培训可以提高骨折护理的可及性和质量.
科学领域:
- 整形外科 整形外科 整形外科
- 公共卫生 公共卫生
- 定性研究是指质量研究.
背景情况:
- 肢体骨折在撒哈拉以南非洲是一个日益关注的问题,由于医疗保健系统的局限性,许多患者寻求传统骨架医生 (TBS) 的护理.
- 这突出了探索骨折管理传统和正式医疗保健系统之间的整合的关键需求.
研究的目的:
- 探讨在坦桑尼亚罗里亚地区传统的骨架者和正式的医疗保健系统之间进行四肢骨折治疗的跨部门合作的利益相关者的观点.
- 确定障碍物和促进者,以便在管理四肢骨折方面进行有效的合作.
主要方法:
- 使用焦点小组讨论和半结构面试进行的定性研究.
- 参与了四个主要利益相关者群体:患者,传统的骨架,医院工作人员和地方政府代表.
- 面试成绩单的专题分析和诱导编码.
主要成果:
- 利益相关者一致支持传统骨架者与医院之间的合作.
- 确定的主要障碍包括转诊动机,医院患者护理质量和骨折管理方面的知识差距.
- 一个协作分类和转介系统是最常被提议的解决方案.
结论:
- 跨部门的合作,特别是联合分拣和转诊系统,对于加强四肢骨折护理至关重要.
- 社区教育和培训传统的骨架者可以进一步提高护理质量和可访问性.
- 这种模式对在断裂管理方面面临类似挑战的地区具有潜力.
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