一个混合方法试点研究临床医生的态度和利用补充和整合性卫生服务在一个学术医疗中心的病人护理
Emma M Millon1,2,3, Andrea Shang2,3, Benjamin Bass3
1Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY, USA.
临床医生认为补充和整合性健康 (CIH) 服务对患者有益,但在教育和人员配置方面面临挑战. 建议扩大CIH,需要在学术医疗中心进行运营和文化改进.
科学领域:
- 综合医学是一个整体的医学.
- 医疗保健提供 医疗保健提供
- 临床实践 临床实践
背景情况:
- 补充和整合性健康 (CIH) 服务越来越多地被认为是对患者护理的潜在好处.
- 了解临床医生的观点对于CIH成功融入学术医疗中心至关重要.
研究的目的:
- 评估临床医生对CIH服务的熟悉程度,态度和使用情况.
- 确定在学术医疗中心内扩大CIH的障碍和机会.
主要方法:
- 一项混合方法试点研究,涉及调查和采访46名临床医生.
- 包括综合健康 (DIH) 部门的护士通过咨询模式提供CIH.
- 评估临床医生的熟悉度,态度和利用率,并对好处和障碍进行定性探索.
主要成果:
- 56%的临床医生讨论了CIH的好处; 72%报告了患者的积极影响 (睡眠,疼痛,压力).
- 拥有更大的自主权的护士认为CIH更为完整;DIH护士表现出高度熟悉.
- 主要挑战包括有限的教育,意识和人员配置;提出的解决方案涉及加强教育,人员配置和EHR转介.
结论:
- 人们对CIH服务的看法是积极的,并保证了扩张.
- 为了成功实现整合,必须应对运营和文化方面的挑战.
- 结果提供了一个完善和整合CIH在学术医疗中心的模型.
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