评估多层次提供者在识别和解决病护理缺口方面的知识和信心
Elaine T Kiriakopoulos1, Alexis Griffith2, Anne Gramiak2
1Geisel School of Medicine, Dartmouth College, 1 Rope Ferry Rd, Hanover, NH 03755, USA; Department of Neurology, Dartmouth Health, 1 Medical Center Drive, Lebanon, NH 03756, USA; The Dartmouth Institute for Health Policy and Clinical Practice, 1 Medical Center Drive, Lebanon, NH 03756, USA.
临床知识和对自我管理 (ESM) 的信心是相关的. 专家临床医生 (ESC) 和非专家临床医生 (NSC) 需要接受教育,以改善患者 (PWE) 的护理.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 患有的人 (PWE) 经历了显著的医疗保健差异.
- 标准化自我管理 (ESM) 计划改善了结果,但在服务不足的人群中未得到充分利用.
- 临床医生对ESM知识和信心的差距阻碍了其实施.
研究的目的:
- 确定专家临床医生 (ESC) 和非专家临床医生 (NSC) 在治疗方面的知识和信心差距,包括ESM.
- 评估临床医生对影响护理的健康社会决定因素 (SDOH) 的认识.
主要方法:
- 为了评估对ESM,耻辱感,治疗和抢救急救的知识和信心,为ESC和NSC开发了两项电子调查.
- 调查还评估了临床医生对SDOH影响病护理的认识.
- 对276个回答进行了描述性数据分析.
主要成果:
- 在所有调查领域中,临床医生的知识和信心之间发现了强烈的相关性 (r=0.91对于ESC,r=0.89对于NSC).
- 在病学家和神经病学家之间,在ESM知识和转诊实践中发现了显著的差异 (p < 0.0004).
- 在ESC和NSC之间观察到ESM咨询,程序知识和转介方面的实质差异 (p < 0.0001).
结论:
- 针对性专业教育对于经济社会委员会和国家社会委员会都至关重要.
- 解决知识和信任差距可以加强ESM的实施.
- 改善ESM实践对于改善PWE的健康结果和生活质量至关重要.
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