Factores relacionados con la carga de trabajo en hospitalización a domicilio: estudio de consenso Delphi

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research Pub Date : 2023-07-01 DOI:10.1016/j.jhqr.2022.09.001

K. Vrotsou , M. Orive-Calzada , N. González , I. Vergara , N. Pascual-Fernández , C. Guerra-López , R. García-Montes , J. Ortiz-Ribes , M.J. Onaindia-Ecenarro , J. Regalado-de los Cobos , M. Millet-Sampedro

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引用次数: 2

Abstract

Objectives

To identify and prioritize a list of factors that contribute to the workload of the hospital at home (HaH) professionals.

Material and methods

A qualitative methodology study performed between January and December 2019 in the 10 HAH units of the Basque Country. The data were obtained in 4 phases: 1. Systematic literature search and review; 2. Expert group meeting; 3. Consensus method: Delphi technique (2 survey rounds) and nominal group meeting; 4. Meeting of the research team.

Results

In the systematic literature search and review 85 factors were initially identified. These were reduced to 38 after the 8-person expert group meeting, in which 10 new factors were added. After the 2 Delphi rounds (106 and 57 professionals, respectively), 17 factors were maintained and 12 remained in doubt. The latter were evaluated at the nominal group meeting, consisting of 13 professionals who decided to eliminate 5 factors, include 3, and keep 3 as doubt. After the 8-person research team meeting, 14 potential factors were finally selected. They are related to the place of residence, the health state and social situation of the patients, as well as the health care provided at home.

Conclusions

The identified factors could serve for improving the organization and optimize the daily word of the HaH professionals.

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家庭住院工作量相关因素:德尔菲共识研究

目的确定和优先考虑导致医院在家(HaH)专业人员工作量的一系列因素。材料和方法2019年1月至12月在巴斯克地区10个HAH单位进行的定性方法研究。数据采集分4期进行:1.数据采集;系统的文献检索与综述;2. 专家组会议;3.共识法:德尔菲法(2轮调查)和名义小组会议;4. 研究小组会议。结果通过系统的文献检索和回顾，初步确定了85个影响因素。在8人专家组会议后，这些因素减少到38个，其中增加了10个新因素。经过两轮德尔菲(分别为106和57名专业人员)，17个因素保持不变，12个因素仍然存在疑问。后者在由13名专业人士组成的名义小组会议上进行评估，他们决定消除5个因素，包括3个因素，保留3个因素作为怀疑。经过8人的研究小组会议，最终筛选出14个潜在因素。这些因素与患者的居住地、健康状况和社会状况以及在家中提供的保健服务有关。结论所识别的因素可为改善医疗卫生专业人员的组织和优化日常工作提供依据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Healthcare Quality Research Medicine-Health Policy

CiteScore

1.70

自引率

8.30%

发文量

审稿时长

57 days

期刊介绍： Revista de Calidad Asistencial (Quality Healthcare) (RCA) is the official Journal of the Spanish Society of Quality Healthcare (Sociedad Española de Calidad Asistencial) (SECA) and is a tool for the dissemination of knowledge and reflection for the quality management of health services in Primary Care, as well as in Hospitals. It publishes articles associated with any aspect of research in the field of public health and health administration, including health education, epidemiology, medical statistics, health information, health economics, quality management, and health policies. The Journal publishes 6 issues, exclusively in electronic format. The Journal publishes, in Spanish, Original works, Special and Review Articles, as well as other sections. Articles are subjected to a rigorous, double blind, review process (peer review)