从提供者和患者来确定优化血管外科医院出院的优先事项的洞察力:一种定性研究
Terrell Christian1, Maraya Camazine2, Chase Schlesselman3
1Division of Vascular Surgery, Department of Surgery, University of Missouri, School of Medicine, Columbia, Missouri, One Hospital Drive, Columbia, MO 65212, United States.
概括
医疗服务提供者和患者对血管外科手术的优先考虑有所不同. 解决这些独特障碍对于标准化,以患者为中心的出院流程至关重要.
科学领域:
- 医疗保健管理
- 患者护理协调
- 血管外科
背景情况:
- 医院出院是一个复杂的,多学科的过程,
- 利益相关者的观点对于优化血管排放过程至关重要.
研究的目的:
- 评估血管排放过程中的各个利益相关者的观点和优先事项.
- 根据利益关方的看法,确定信息化和统一的核准障碍.
主要方法:
- 半结构焦点小组采访的定性分析.
- 使用重新设计的排放 (RED) 过程框架.
- 使用Dedoose软件进行定向内容分析.
主要成果:
- 医生认为低水平的医疗素养和医疗复杂性是障碍.
- 工作人员发现时间限制和沟通挑战.
- 患者强调复杂的指令和技术障碍,由COVID-19加剧.
结论:
- 医疗服务提供者和患者退院的优先事项存在显著差异.
- 需要量身定制的干预措施来满足各利益相关者的需求.
- 制定标准化,以患者为中心的血管疾病排放过程是必不可少的.
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