WONCA研究论文摘要汇编——初级医疗过程中患者与员工体验探讨

发布时间：2018-01-08 04:26

本文关键词：WONCA研究论文摘要汇编——初级医疗过程中患者与员工体验探讨　出处：《中国全科医学》2015年26期 　论文类型：期刊论文

【摘要】：目的既往研究表明,高危患者希望享受高技术含量的协调初级医疗。然而,医生对于低收入、慢性疾病患者和为其提供护理的人员在初级医疗过程各个步骤中的体验了解甚少。方法纳入未参加保险或医疗补助计划的慢性疾病患者和初级医疗人员,对其进行定性访谈。对21名患者和来自3家初级医疗机构(包括1家联邦资格卫生院和两家学术附属诊所)各个岗位的30名员工进行访谈。结果访谈内容为贯穿初级医疗所有阶段的3个主要问题:(1)尽管建立了促进交流的系统,但每次治疗的信息交流依旧存在困难;(2)患者、临床医生和员工的目标和期待不一致,为每次治疗服务的提供和获取带来障碍;(3)患者和员工高度重视人际关系。结论弱势人群和初级医疗人员在整个初级医疗过程中共同经历着一些困难。促进信息交流、建立一致的目标和期待、增进人际关系可以提升患者和员工的医疗体验。
[Abstract]:Objective previous studies have shown that high-risk patients want to benefit from highly skilled coordinated primary care. However, doctors have low incomes. There is little understanding of the experiences of patients with chronic diseases and those who provide them with care in the various steps of the primary medical process. Methods include patients with chronic diseases and primary health care personnel who are not covered by insurance or Medicaid schemes. Qualitative interviews. 21 patients and 3 primary health care institutions (including 1 federal qualification hospital and 2 academic affiliated clinics). Interviews were conducted among 30 employees in various positions. Results the interview covered three major questions: 1, which ran through all stages of primary health care, despite the establishment of a system to promote communication. However, the information exchange of each treatment is still difficult; (2) inconsistent goals and expectations of patients, clinicians and employees present obstacles to the provision and access of services for each treatment; Conclusion the disadvantaged group and the primary medical staff are experiencing some difficulties in the whole process of primary medical care, and promote the exchange of information and establish a consistent goal and expectation. 3) patients and employees attach great importance to interpersonal relationships. Improving relationships can enhance the medical experience of patients and employees.
【分类号】：R197.3
【正文快照】： 原文见:Brown EJ,Kangovi S,Sha C,et al.Exploring the patient and staff experience with the process of primary care[J].Ann Fam Med,2015,13(4):347-353.Published at http://www.annfammed.org/content/13/4/347. abstract.WONCA研究论文摘要汇编——初级医疗过程中

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