获取通用诊所预约和可持续变化:专注的民族学案例研究
Helen Atherton1, Abi Eccles2, Carol Bryce3
1University of Southampton, Primary Care Research Centre, Southampton, United Kingdom h.atherton@soton.ac.uk.
概括
一般实践不断调整预约访问系统,通常是通过"持续调整". 这种不断的变化虽然是必要的,但给患者和工作人员带来了复杂性和不满,凸显出需要在需求管理之外探索患者的需求.
科学领域:
- 一般做法
- 医疗管理
- 患者可以使用
背景情况:
- 获得全科医生预约对于患者至关重要,但在现代初级保健中越来越困难.
- 目前的全科医生服务面临着大量的咨询,导致预约可用性存在挑战.
研究的目的:
- 评估实施的改善全科医生预约的系统的长期可行性.
- 确定以前部署的访问系统是否被调整,放弃或随着时间的推移而持续.
主要方法:
- 在英格兰进行了一项专注的民族学比较案例研究.
- 数据收集包括定性观察,与74名患者和70名工作人员进行半结构面试,以及文档分析.
主要成果:
- 一般做法主要集中在需求管理上,导致连续修改接入系统.
- 现有的接入解决方案通常通过持续的变化 ("持续修补") 而不是彻底采用或放弃.
- 这些频繁的适应带来了复杂性,造成了患者的困惑,不满,压力和敌意,同时也带来了大量的工作负担.
结论:
- "持续修改"接入系统是一个务实的,虽然复杂的,对初级保健接入挑战的回应,主要是以需求管理为重点.
- 另一种观点可以将重点转移到了解和满足患者的需求和改善接入的愿望.
更多相关视频
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
12.0K
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.2K
相关概念视频
Naturalistic Observations
15.9K
If you want to understand how behavior occurs, one of the best ways to gain information is to simply observe the behavior in its natural context. However, people might change their behavior in unexpected ways if they know they are being observed. How do researchers obtain accurate information when people tend to hide their natural behavior? As an example, imagine that your professor asks everyone in your class to raise their hand if they always wash their hands after using the restroom. Chances...
15.9K
Stress Prevention and Stress Management Techniques VI
64
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
64
Community Based Intervention
94
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
94
Methods of Documentation II: POMR
1.1K
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.1K
Psychodynamic Therapy
136
Psychodynamic therapies emphasize the exploration of unconscious processes and early childhood experiences as fundamental contributors to psychological difficulties. These therapies, deeply rooted in Freud's psychoanalytic theory, aim to uncover and resolve unconscious conflicts, granting individuals insights that promote emotional and behavioral healing. Contemporary psychodynamic approaches have evolved, integrating a broader range of influences and methodologies while still valuing the...
136
Case Studies
12.1K
There are many research methods available to psychologists in their efforts to understand, describe, and explain behavior and the cognitive and biological processes that underlie it.
12.1K
