Thornton C
University of Reading, Earley, UK.
J Psychiatr Ment Health Nurs. 1999 Oct;6(5):383-90. doi: 10.1046/j.1365-2850.1999.00236.x.
This paper explores the perceptions and experiences of formal carers, working in three different geographical locations in the south of England, in accessing primary health care for people with learning disabilities. The sample included six multidisciplinary, community learning disability teams and 11 managers of small homes for residents who had learning disabilities. Data were collected through focus group and individual semistructured interviews. Levels of collaboration between primary health care groups and the community learning disability teams and the managers of small homes were assessed. Questions were focused upon the importance of primary health care and the key care provider within the community setting. Although some good experiences were recorded, the overall levels of collaboration were poor. Health care was perceived as very important by all of the respondents. The general practitioner (GP) as the coordinator of health care was perceived as the normal model within our health care system but the majority of respondents questioned the effectiveness in relation to their own experiences of accessing health care for people with learning disabilities. The relocation of this role to the learning disability nurse was perceived as a possible solution.
本文探讨了在英格兰南部三个不同地理位置工作的正规护理人员在为学习障碍者提供初级医疗保健方面的认知和经历。样本包括六个多学科社区学习障碍团队以及11家为学习障碍居民提供服务的小型家庭护理机构的管理人员。数据通过焦点小组和个人半结构化访谈收集。评估了初级医疗保健团队与社区学习障碍团队以及小型家庭护理机构管理人员之间的合作程度。问题聚焦于初级医疗保健的重要性以及社区环境中的关键护理提供者。尽管记录了一些良好的经历，但总体合作水平较差。所有受访者都认为医疗保健非常重要。全科医生作为医疗保健协调员被视为我们医疗保健系统中的常规模式，但大多数受访者对其在为学习障碍者提供医疗保健方面的有效性提出质疑。将这一角色重新定位给学习障碍护士被视为一种可能的解决方案。
