护理的连续性:基于信任的关系和个性化信息在用户体验中的可用性
Patty Fidelis de Almeida1, Adriano Maia Dos Santos2, Rafaela Fidelis Lima Silvério1
1Instituto de Saúde Coletiva, Universidade Federal Fluminense, Niterói, Brasil.
Cadernos de saude publica
|July 23, 2025
概括
建立牢固的患者-提供者关系是护理连续性的关键,特别是对于艾滋病毒和高血压患者. 医疗保健系统的问题,如员工流动,会破坏这些重要联系.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 患者体验 患者体验
背景情况:
- 持续的护理对于管理慢性疾病如艾滋病毒和全身性动脉高血压 (SAH) 至关重要.
- 关系连续性,包括信任和个性化信息,显著影响患者的坚持和结果.
- 了解用户体验对于识别医疗保健提供方面的差距至关重要.
研究的目的:
- 从艾滋病毒和SAH患者的角度分析护理的关系连续性.
- 确定影响信任关系和信息可用性的因素,在初级和专业护理设置.
- 探索医疗保健提供者流动和专业间合作对护理连续性的影响.
主要方法:
- 定性案例研究设计.
- 在巴西里约热内卢对艾滋病毒感染者 (PLH) 进行了45次采访,对被诊断患有系统性动脉高血压 (SAH) 的患者进行了38次采访.
- 分析了采访数据,重点关注关系连续性的信任和个性化信息维度.
主要成果:
- 最强的基于信任的关系和信息提供是与家庭健康团队 (FHT) 医生和传染病专家.
- 医疗保健提供者的营业额对SAH患者的关系债券产生了负面影响,影响了连续性和访问.
- 护士专业人员在PLH患者中发挥了关键作用;然而,这两组患者都经历了有限的跨专业实践和技术介导的沟通.
结论:
- 定期的护理点对于建立患者-提供者纽带和确保关系连续性至关重要.
- 巴西统一国家卫生系统内的医疗保健工作管理问题有助于提供者流动,并扰乱治疗后续.
- 加强专业间合作和利用通信技术是改善护理连续性的必要条件.
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