农村服务的初级保健医生和心脏病专家对心血管服务的护理适应:定性分析
Susan G Miller1, Signe Burchim1, Kristin Beima-Sofie1
1Department of Global Health, University of Washington, Seattle, Washington, USA.
概括
农村医疗保健提供者扩大心血管服务,并调整护理以满足患者的需求. 影响这些变化的因素包括社区,从业者和系统层面的因素,突出了改善心血管保健的必要性.
科学领域:
- 心血管医学 心血管医学
- 农村健康差异 农村健康差异
- 医疗保健服务研究 医疗服务研究
背景情况:
- 农村人口在获得心血管保健方面面临重大障碍.
- 与城市环境相比,农村地区的心脏病负担更高.
- 了解农村心血管保健中的适应性至关重要.
研究的目的:
- 调查农村初级保健从业者提供的心血管服务.
- 检查农村医疗保健提供者如何适应心血管保健服务.
- 确定影响实践范围和护理调整的因素.
主要方法:
- 与农村服务的初级保健医生,高级实践提供者和药剂师进行了半结构化采访.
- 在研究样本中包括心脏病专家.
- 专注于阿拉斯加,爱达荷州和华盛顿州的从业者.
主要成果:
- 两个关键主题出现了:扩大实践范围和改变护理交付.
- 例如,初级保健医生处方高风险药物,心脏病专家因资源有限而订购更少的成像测试.
- 社区,个人,诊所和政策层面的社会生态因素影响了这些适应.
结论:
- 农村初级保健医生和转诊心脏病专家证明了实践范围的扩大和护理的改变.
- 多个因素影响了这些护理交付轮班.
- 未来的研究应该探讨如何扩大实践范围,可能通过以团队为基础的护理,可以提高农村心血管护理的准入.
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