感谢您聆听我的发言:老年患者初级保健的关键要素。

IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Lisa Kastbom, Maria M Johansson, Annette Sverker, Anna Segernäs
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引用次数: 0

摘要

目的:在组织医疗保健和规划改善医疗保健的研究时,纳入患者自身的看法非常重要。因此,本研究旨在探讨老年患者对其目前的医疗服务以及未来可能在初级医疗机构采取的干预措施的重要意义的看法:设计:采用个人访谈的定性设计。通过潜在内容分析法进行分析:七个瑞典初级保健中心:研究对象:年龄大于 75 岁的患者(30 人),与初级医疗保健中的老年护理团队有联系:结果:共发现三个类别,包括 14 个子类别,即护理的特点是容易获得、连续性和员工参与、安全;日常生活和晚年计划。以人为本、方便就医、连续性和员工参与的护理这一潜在主题赋予了类别和子类别内容更深层次的含义:结论:通过满足老年人特殊需求的条件为老年人提供初级保健服务非常重要。我们的研究强调了老年护理团队在促进与医疗保健的联系、确保连续性以及为以人为本的护理创造条件方面的重要性。对培训的偏好各不相同,对生命终结对话的看法也不尽相同,这都加强了对个性化和个人知识的需求。这项研究也是定性个人访谈的一个范例,通过这种方法,老年人可以参与到研究设计中,并为即将开展的研究干预提供意见,因为访谈为瑞典老年人安全和重点初级护理(SAFE)干预试验的规划提供了重要的有价值的信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Thanks for hearing me: key elements of primary care according to older patients.

Objective: When organising healthcare and planning for research to improve healthcare, it is important to include the patients' own perceptions. Therefore, the aim was to explore older patients' views on what is important concerning their current care and possible future interventions in a primary care setting.Design: A qualitative design with individual interviews was used. Analysis through latent content analysis.Setting: Seven Swedish primary care centres.Subjects: Patients (n 30) aged >75 years, connected to elder care teams in primary healthcare.Results: Three categories, consisting of 14 sub-categories in total, were found, namely: Care characterised by easy access, continuity and engaged staff builds security; Everyday life and Plans in late life. The overarching latent theme Person-centred care with easy access, continuity and engaged staff gave a deeper meaning to the content of the categories and sub-categories.Conclusion: It is important to organise primary care for older people through conditions which meet up with their specific needs. Our study highlights the importance of elder care teams facilitating the contact with healthcare, ensuring continuity and creating conditions for a person-centred care. There were variations regarding preferences about training and different views on conversations about end-of-life, which strengthens the need for individualisation and personal knowledge. This study also exemplifies qualitative individual interviews as an approach to reach older people to be part of a study design and give input to an upcoming research intervention, as the interviews contribute with important information of value in the planning of the Swedish intervention trial Secure and Focused Primary Care for Older pEople (SAFE).

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来源期刊
CiteScore
3.20
自引率
19.00%
发文量
47
审稿时长
>12 weeks
期刊介绍: Scandinavian Journal of Primary Health Care is an international online open access journal publishing articles with relevance to general practice and primary health care. Focusing on the continuous professional development in family medicine the journal addresses clinical, epidemiological and humanistic topics in relation to the daily clinical practice. Scandinavian Journal of Primary Health Care is owned by the members of the National Colleges of General Practice in the five Nordic countries through the Nordic Federation of General Practice (NFGP). The journal includes original research on topics related to general practice and family medicine, and publishes both quantitative and qualitative original research, editorials, discussion and analysis papers and reviews to facilitate continuing professional development in family medicine. The journal''s topics range broadly and include: • Clinical family medicine • Epidemiological research • Qualitative research • Health services research.
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