"在家里"是什么意思? 混合方法研究开发共识定义的研究
Polly Duncan1, Nathan Yung2, Shoba Dawson2
1Centre for Academic Primary Care, University of Bristol, Bristol, United Kingdom polly.duncan@bristol.ac.uk.
BJGP open
|December 10, 2025
概括
研究人员制定了一项关于被困在家中的患者的共识定义,这些患者往往被研究不足. 新的定义旨在改善无法离开家园的个人获得医疗保健和服务的机会.
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
- 老年学是指老年学的学科.
背景情况:
- 住院病人是一个研究不足的人群,有复杂的医疗保健需求.
- 缺乏"无需出门"的标准化定义,阻碍了研究和服务开发.
- 获得初级医疗保健的挑战在被困在家中的个人中普遍存在.
研究的目的:
- 为了建立一个共识的定义"家庭"的个人.
- 为了促进研究和改善医疗保健提供给这个患者群体.
主要方法:
- 在英国,采用了三部分共识方法.
- 包括一个系统的文献综述,采访与无家可归的个人和照顾者 (n=12),以及与卫生和社会护理专业人员 (n=14) 的共识练习.
- 为了达成共识,使用了两阶段的RAND/UCLA适当性方法.
主要成果:
- 确定和分类了现有的52个"无家可归"的定义.
- 最终达成共识的定义是:"无法离开家园或需要大量援助才能离开的人. 这可能是由于疾病,虚弱,残疾,手术,精神疾病健康或接近生命的尽头.
- 这一定义涉及各种方面,包括流动性,援助需求和潜在的健康状况.
结论:
- 开发的共识定义为研究提供了一个标准化的方法.
- 它可以帮助决策者和医疗保健提供者评估和增强无家可归患者的服务.
- 该定义适用于英国,并可能在国际上适用.
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