一项定性实施研究,以改善医疗保险年度健康访问
Joanne E Wilkinson1, Roberta E Goldman2, Jeffrey Borkan2
1From the Department of Family Medicine, Warren Alpert Medical School of Brown University (JEW, REG, JB); Program in Gerontology and Rhode Island Geriatric Education Center, University of Rhode Island (CF, PC). jwilkmd@gmail.com.
医疗保险年度健康访问 (AWV) 对服务不足的人群来说是有希望的,但需要仔细规划. 优化AWV价值涉及患者的准备,调整期望,并管理竞争的需求,以获得更好的健康结果.
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
- 老年医学 老年医学
背景情况:
- 医疗保险年度健康访问 (AWV) 提供了显著的潜在价值.
- 它的有效性取决于具体的实施策略和临床背景.
- 这项研究调查了在服务不足患者的住院诊所内对AWV的感知价值.
研究的目的:
- 探索医生和患者对医疗保险年度健康访问 (AWV) 的价值的看法.
- 确定影响AWV在服务不足的环境中成功实施的关键因素.
- 了解如何在患者特定的挑战中优化AWV实用性.
主要方法:
- 与医疗保健提供者和患者进行了定性采访.
- 用了未识别的转录来进行分析.
- 采用沉浸结晶方法来解释数据.
主要成果:
- 医生和患者为AWV确定了关键的学习点.
- 关键主题包括患者为AWV做好准备.
- 调整期望和议程,以及考虑到患者竞争性的生活需求,优化AWV价值也得到了重视.
结论:
- 医疗保险年度健康访问 (AWV) 是一个具有相当潜力的有价值的工具.
- 经过深思熟虑和量身定制的实施对于最大限度地发挥它的好处至关重要.
- 在服务不足的实习生环境中,特别注意患者需求和后勤因素至关重要.
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