通过与农村社区医院的康复治疗师合作实现家庭医生角色的演变:一种基础理论方法

IF 3.2 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Ryuichi Ohta, Kentaro Yoshioka, Chiaki Sano
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引用次数: 0

摘要

农村家庭医生的角色不断演变,以适应老龄化社会的综合护理需求。对于农村地区的老年人来说,康复对于确保他们能够继续进行日常生活活动至关重要。在这一人群中,住院治疗后顺利出院是至关重要的,并且需要对多病症进行管理,康复治疗师可能需要家庭医生的支持才能达到最佳效果。因此,本研究旨在调查农村家庭医生在患者康复中的角色变化。研究人员对一家日本乡村医院的乡村家庭医生和康复治疗师进行了人种学分析。研究采用了建构主义基础理论方法作为定性研究方法。通过实地记录和半结构化访谈从参与者那里收集数据。采用基础理论方法,就家庭医生和治疗师在农村社区老年患者康复中建立有效的跨专业合作提出了以下三个主题:1)建立相互理解和心理安全感;2)改善医护人员与患者之间的关系;3)在农村家庭医疗中创造新的角色,以满足不断变化的需求。确保家庭医学科与康复科之间的持续对话有助于建立理解,增进知识,加强医护人员之间的相互尊重,使工作更加愉快。各部门之间的持续合作也改善了专业人员与患者之间的关系,建立了对合作治疗模式的信任,并支持以患者为中心的家庭医疗方法。在这一框架内,了解家庭医生的能力可促使他们在农村医院中发挥新的作用。家庭医学在社区医院的老年病治疗中发挥着至关重要的作用,尤其是在农村初级医疗机构。家庭医学在医院中的作用应在其他环境中加以研究,以改善老年病护理,促进医疗保健专业人员之间的相互学习和提高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evolution of the roles of family physicians through collaboration with rehabilitation therapists in rural community hospitals: a grounded theory approach
The role of rural family physicians continues to evolve to accommodate the comprehensive care needs of aging societies. For older individuals in rural areas, rehabilitation is vital to ensure that they can continue to perform activities of daily living. In this population, a smooth discharge following periods of hospitalization is essential and requires management of multimorbidity, and rehabilitation therapists may require support from family physicians to achieve optimal outcomes. Therefore, this study aimed to investigate changes in the roles of rural family physicians in patient rehabilitation. An ethnographic analysis was conducted with rural family physicians and rehabilitation therapists at a rural Japanese hospital. A constructivist grounded theory approach was applied as a qualitative research method. Data were collected from the participants via field notes and semi-structured interviews. Using a grounded theory approach, the following three themes were developed regarding the establishment of effective interprofessional collaboration between family physicians and therapists in the rehabilitation of older patients in rural communities: 1) establishment of mutual understanding and the perception of psychological safety; 2) improvement of relationships between healthcare professionals and their patients; and 3) creation of new roles in rural family medicine to meet evolving needs. Ensuring continual dialogue between family medicine and rehabilitation departments helped to establish understanding, enhance knowledge, and heighten mutual respect among healthcare workers, making the work more enjoyable. Continuous collaboration between departments also improved relationships between professionals and their patients, establishing trust in collaborative treatment paradigms and supporting patient-centered approaches to family medicine. Within this framework, understanding the capabilities of family physicians can lead to the establishment of new roles for them in rural hospitals. Family medicine plays a vital role in geriatric care in community hospitals, especially in rural primary care settings. The role of family medicine in hospitals should be investigated in other settings to improve geriatric care and promote mutual learning and improvement among healthcare professionals.
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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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