患者和临床医生对英格兰全科医院的连续性有何看法? 一个定性研究是一项定性研究
Patrick Burch1, Stephen Iles2, Aaron Poppleton3
1Centre for Primary Care and Health Services Research, University of Manchester, Manchester, UK patrick.burch@manchester.ac.uk.
概括
患者和临床医生的观点显示,一般实践中的关系连续性正在下降. 许多患者优先考虑快速访问,而不是持续的关系,质疑在当前的系统限制中恢复连续性的可行性.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 质量健康研究 质量健康研究
背景情况:
- 关系连续性,即持续的患者与临床医生的治疗关系,是一般医生的传统特征.
- 由于需求增加,劳动力短缺和初级保健结构变化,其在英格兰的流行率有所下降.
研究的目的:
- 调查患者和临床医师在一般实践中对连续性的观点.
- 确定影响这些关于护理连续性的观点的因素.
主要方法:
- 在英格兰 (2024年7月至2025年2月) 采用半结构面试和焦点小组进行的定性研究.
- 17名初级保健工作人员和40名患者参加了这次活动.
- 使用了感应性主题分析,由连续性和泛性的理论模型提供信息.
主要成果:
- 患者往往缺乏连续性的经验和对其价值的理解.
- 患者和临床医生都经常优先考虑快速访问,而不是关系连续性.
- 关于一般实践的作用的信念和对当前约束中的可行性的怀疑,塑造了对连续性的看法.
结论:
- 临界群体的患者可能认为一般实践主要是生物医学服务,无论临床医生.
- 需要采取紧急行动,在态度和交付变化使其无法实现之前,改善连续性.
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