拒绝或返回提交的原因和后果来自一般实践
Niels Kristian Kjær1, Mette Elkjær2, Helle Ibsen1
1Research Unit for General Practice, Department of Public Health, University of Southern Denmark.
Danish medical journal
|September 10, 2025
概括
从医院转诊回归到全科医院 (GP) 可能会损害合作和患者护理,特别是复杂的病例. 改善初级和中级护理之间的对话是改善患者管理和公平健康结果的关键.
科学领域:
- 医疗保健管理的管理
- 主要护理是指初级护理.
- 二级护理的第二级护理
背景情况:
- 越来越多的医院转诊率回到各个国家的全科医生 (GPs).
- 需要从GP联络人角度了解转诊回报的原因和后果.
研究的目的:
- 调查从医院转诊返回全科医院的原因和影响.
- 探索全科医生联络官关于转诊退款的经验.
主要方法:
- 与丹麦南部的20名全科医生联络官进行了个别采访.
- 用于定性数据分析的系统文本缩写.
主要成果:
- 推回报被看作是有建设性的,当有充分的论证,提供建议,以提高GP能力.
- 动机不佳的回报会破坏全科医生,医院和患者之间的信任.
- 复杂的患者 (不明确的诊断,多病症,社会问题) 面临更多的返回,冒着延迟护理和健康不平等的风险.
- 推回报往往将任务转移到一般实践中.
结论:
- 加强初级和中级护理之间的对话可以改善患者的护理.
- 转诊返回会带来风险,特别是对于脆弱的患者,可能会压迫GP-医院的合作.
- 推回报的驱动因素和结果是多方面的.
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