在纽芬兰和拉布拉多,急诊室医生经验管理被标记为"社区紧急情况"的患者:一项定性研究
Raleen Murphy1, Christina Young1,2, Kayla Furlong1,3
1Discipline of Family Medicine, Faculty of Medicine, Memorial University of Newfoundland, St. John's, NL, Canada.
医生发现,在急诊室 (ED) 中,老年人的"社区紧急情况"名称被普遍理解,但得到了很少的支持. 不一致的管理和ED过度拥挤强调了需要更好的政策来解决这些患者复杂的社会和临床需求.
科学领域:
- 老年医学 老年医学
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 社区急诊患者是老年人向ED提出社会/功能问题,而不是急性疾病.
- 这些患者经常经历长时间的ED停留等待护理安排.
- 有限的定性研究存在于医生经验管理这个人群.
研究的目的:
- 探索急诊室 (ED) 医生管理被标记为"社区紧急情况"的患者的经验.
- 确定对这个脆弱的患者群体的护理中的挑战和不一致性.
主要方法:
- 质量研究涉及对纽芬兰和拉布拉多州9名ED医生的采访.
- 有根据的理论分析,包括常量比较和代编码.
主要成果:
- 术语"社区紧急情况"是ED医生普遍理解的.
- 在ED中存在重大障碍,包括基础设施不足和有限的相关卫生支持.
- 农村和城市ED之间在护理管理方面的差异很明显.
结论:
- 紧急诊所被认为是长期照顾"社区紧急"患者的不合适场所.
- 改善政策是必要的,以满足这一群体的临床和社会需求.
- 加强护理协调和替代安置策略至关重要.
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