青少年对影响他们寻求医疗保健决定的因素的看法
K R Ginsburg1, G B Slap, A Cnaan
1Craig-Dalsimer Program in Adolescent Medicine, Department of Medicine, University of Pennsylvania, School of Medicine, Philadelphia, USA.
JAMA
|June 28, 1995
概括
青少年在选择医疗保健时优先考虑提供者的卫生,诚实和尊重. 影响青少年寻求护理决定的关键因素包括感染控制和提供者能力,强调清洁和技能.
科学领域:
- 青少年健康 青少年健康
- 医疗保健的质量 医疗保健的质量
- 患者体验 患者体验
背景情况:
- 了解青少年寻求医疗保健的行为对于改善获得和结果至关重要.
- 以前的研究主要集中在成人观点上,可能忽视了青少年独特的优先事项.
研究的目的:
- 从青少年自己的角度确定影响青少年寻求护理决定的医疗保健提供者和网站的特征.
- 告知医疗保健提供者和政策制定者关于可修改的因素,以提高青少年与医疗保健服务的参与度.
主要方法:
- 一个多阶段的研究进行了10个月,涉及焦点小组和名义小组技术,以产生学生的反应.
- 使用了三项调查来评估所识别的特征的重要性,以及一项最终调查来将这些与寻求护理的决定联系起来.
- 这项研究涉及费城学区的6821名九年级学生.
主要成果:
- 青少年认为提供者洗手,干净的仪器,诚实,尊重,清洁,能力和保密是非常重要的因素.
- 感染控制和提供者能力成为影响寻求护理决策的最重要的潜在因素.
- 这些偏好在不同性别,种族或社会经济地位之间观察到的差异很小.
结论:
- 清洁和感染控制至关重要,前十大特征中有四个与这些方面有关.
- 调查结果为医疗保健提供者和规划者提供了可操作的见解,以改善青少年医疗保健利用率.
- 青少年识别的因素提供了一条直接的途径,以提高对这一人口群的护理质量和可获得性.
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