全科医生对重新安置医疗服务的看法:荷兰的一项访谈研究

IF 3.2 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
L.J. Damen, L.H.D. Van Tuyl, B. J. Knottnerus, J.D. De Jong
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引用次数: 0

摘要

世界各地的医疗保健系统正面临着巨大的挑战,因为成本上升和医疗需求的增加并没有带来相应的医务人员队伍的增长。如果不进行改革,医疗保健系统将难以为继。转移医疗服务,例如从医院转移到全科诊所,有望为确保医疗保健的可持续发展做出重要贡献。医疗服务迁移对全科医生(GPs)有重大影响。因此,我们调查了全科医生认为哪些医疗服务可以迁移,以及在哪些条件下可以迁移。我们通过位于荷兰的 Nivel 电子医疗与创新全科医生网络招募全科医生。共进行了一次探索性焦点小组讨论和 12 次深入访谈。访谈记录采用主题分析的定性研究原则进行分析。据参与者称,一旦满足了某些先决条件,一些诊断和后续护理就可以从医院转移到全科医生那里。将护理工作从医院转移到全科医生的一个重要条件是全科医生有足够的时间接管这些工作。可以从全科医生转到其他医疗机构的医疗服务类型是全科医生的医学知识无法提供额外服务的问题,或者是在医疗系统中遇到问题导致病人向全科医生求助或留在全科医生身边的问题。在尝试将医疗服务从医院转移到全科医生之前,应首先将全科医生的医疗服务转移到其他医疗机构。在满足这些条件和其他条件的情况下,一些诊断和后续护理可以从医院转移到全科医生那里。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
General practitioners’ perspectives on relocating care: a Dutch interview study
Healthcare systems around the world are facing significant challenges because higher costs and an increase in demand for care has not been matched by a corresponding growth in the health workforce. Without reform, healthcare systems are unsustainable. Relocating care, such as from hospitals to general practices, is expected to make a key contribution to ensuring healthcare remains sustainable. Relocating care has a significant impact upon general practitioners (GPs). Therefore, we investigated which care, according to GPs, could be relocated and under which conditions. GPs were recruited through Nivel’s GPs network on eHealth and innovation, located in the Netherlands. One exploratory focus group and 12 in-depth interviews were conducted. Interview transcripts were analyzed using the qualitative research principles of thematic analysis. According to the participants, some diagnostic and follow-up care could be relocated from hospitals to GPs once certain prerequisites are fulfilled. An important condition of relocating care from the hospital to the GP is that GPs have sufficient time to take over these tasks. The types of care that can be relocated from the GP to other settings are those questions where the medical knowledge of the GP can offer nothing extra or where problems in navigating the health system cause patients to either turn to, or stay with, their GP. Care should first be relocated from the GP to other settings before attempting to organize the relocation of care from the hospital to the GP. When this, and other conditions are met, some diagnostic and follow-up care can be relocated from the hospital to the GP.
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来源期刊
BMC Family Practice
BMC Family Practice 医学-医学:内科
CiteScore
3.20
自引率
0.00%
发文量
0
审稿时长
4-8 weeks
期刊介绍: BMC Family Practice is an open access, peer-reviewed journal that considers articles on all aspects of primary health care research. The journal has a special focus on clinical decision making and management, continuing professional education, service utilization, needs and demand, and the organization and delivery of primary care and care in the community.
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