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在外科手术中新型预专业患者导航计划的障碍和促进者
Adora N Moneme1, Solomiya Syvyk2, Emna Bakillah3
1Department of Surgery, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, Pennsylvania; Center for Surgery and Health Economics, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania; Center for Surgical Health, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
这项研究探讨了前职业手术患者导航员协助低保险患者的障碍和促进因素. 关键发现突出了需要标准化程序和支持,以改善手术健康公平.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 手术瘤学手术瘤学
- 健康 公平 卫生 公平
背景情况:
- 缺乏保险的患者面临着手术护理的重大障碍,导致健康差异.
- 患者导航程序在瘤学中是有效的,但在良性手术条件下很少.
- 这项研究研究了一项针对低保险人群的新型预专业外科手术患者导航计划.
研究的目的:
- 确定影响预专业外科手术患者导航计划的障碍和促进因素.
- 收集从专业前导航员对改善患者导航体验的见解.
- 为改善低保险人口获得外科护理的战略提供信息.
主要方法:
- 进行了一项定性采访研究,对22名专业前航海员进行了采访.
- 方法包括使用突出指数和修改基础理论分析的自由列表和开放式响应.
- 参与者在单一中心环境中至少有两名患者的导航经验.
主要成果:
- 导航员确定了患者,提供者,行政和卫生系统因素作为关键障碍和促进因素.
- 常见的障碍包括语言,文化问题,患者参与度和劳动力限制.
- 促进者包括领导力支持,标准化程序和卫生系统协调.
结论:
- 前职业航海员提供了宝贵的劳动力扩张和培训机会.
- 手术患者导航的成功受到不同领域和保险复杂性的影响.
- 标准化的导航程序和更广泛的支持对于实现外科健康公平至关重要.
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