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澳大利亚全科医生的观点,经验和在初级保健中使用非药物干预措施:一种定性研究
Alexandra R Davidson1,2, Hannah Greenwood3, Isabella Maugeri2
1Institute for Evidence-Based Healthcare, Bond University, Robina, Queensland, Australia adavidso@bond.edu.au.
澳大利亚的全科医生由于培训有限和环境因素,未充分利用非药物干预 (NDI). 加强GP教育和资源对于更好地将NDI纳入初级保健至关重要.
科学领域:
- 初级保健研究研究初级保健研究
- 健康 行为 改变 改变
- 一般的做法一般的做法
背景情况:
- 非药物干预 (NDI) 是有效的,但在初级保健中未得到充分利用.
- 关于NDI障碍的研究往往忽视了全科医生的观点.
- 一般医生在NDI提供和患者指导方面发挥着至关重要的作用.
研究的目的:
- 探索澳大利亚全科医生的在初级保健中使用NDI的经验和观点.
- 识别影响全科医生对NDI的处方和使用的因素.
主要方法:
- 使用现实主义方法学的定性面试研究.
- 使用理论领域框架对面试成绩单进行抽象分析.
- 来自澳大利亚初级保健机构的14名全科医生的便利样本.
主要成果:
- 一般医生报告说,从正规教育中获得的NDI知识有限,依赖于与患者的双向知识共享.
- 患者因素 (例如,财务,动机) 和初级保健环境 (例如,时间,计费) 显著影响了NDI的使用.
- 被认为是全科医生的重要组成部分,用于预防,一线治疗或与药物一起使用.
结论:
- 医生使用NDI受到系统性,教育性和人际关系因素的影响.
- 优化NDI整合需要改善全科医生培训,更明确的指导方针和可访问的基于证据的资源.
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