在流行后的初级保健中改善资源管理:关于明智地选择加拿大指南的洞察力
Nathan Jeffery1, Div Patel1, Taylor Marshall1
1Undergraduate Medical Education, Northern Ontario School of Medicine University, Sudbury, ON, Canada.
概括
初级保健医生表现出对选择明智加拿大 (CWC) 准则的高度认识,但面临时间和农村资源限制等障碍. 改善采用需要有针对性的教育,技术和定制的农村战略,以更好地管理资源.
科学领域:
- 在初级医疗保健中.
- 医疗服务研究 医疗服务研究
- 资源管理管理 资源管理
背景情况:
- 由于COVID-19大流行扰乱了初级保健,增加了资源管理方面的挑战.
- 选择明智加拿大 (CWC) 准则旨在减少不必要的干预,但面临实施障碍,特别是在农村地区.
- 患者的期望可能与基于证据的护理相冲突,特别是在流行病后.
研究的目的:
- 探索初级保健医生的意识,利用和实施CWC指南的障碍.
- 确定挑战,质量改进机会和创新方法,以减少低价值护理.
- 专注于农村初级保健机构的具体挑战.
主要方法:
- 一项在线调查分发给加拿大各地的初级保健医生.
- 收集人口统计数据,实践习惯和对CWC指南的观点.
- 采用了对趋势的定量分析和对反复出现的主题的开放式响应的定性分析.
主要成果:
- 对CWC指导方针的高度认识 (97.6%),但对流行病后适应 (36.2%) 和患者材料 (61.4%) 的熟悉度较低.
- 关键的障碍包括时间限制,担心错过诊断和有限的农村资源.
- 医生强调了定制的农村方法,EMR集成,移动决策支持工具,以及加强患者教育以打击错误信息.
结论:
- 有针对性的医疗和患者教育,专业间合作和技术整合对于CWC的采用至关重要.
- 针对特定农村挑战和系统障碍的定制解决方案对于可持续的初级保健资源管理至关重要.
- 解决患者对不必要测试的需求,通常是由社交媒体错误信息推动的,是必不可少的.
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