产生影响——全科医生如何理解诊疗结果。一项现象学研究。
To make a difference--how GPs conceive consultation outcomes. A phenomenographic study.
作者信息
Andén Annika, Andersson Sven-Olof, Rudebeck Carl-Edvard
机构信息
Bergnäsets Vårdcentral, Luleå, Sweden.
出版信息
BMC Fam Pract. 2009 Jan 16;10:4. doi: 10.1186/1471-2296-10-4.
BACKGROUND
Outcomes from GPs' consultations have been measured mainly with disease specific measures and with patient questionnaires about health, satisfaction, enablement and quality. The aim of this study was to explore GPs' conceptions of consultation outcomes.
METHODS
Interviews with 17 GPs in groups and individually about consultation outcomes from recently performed consultations were analysed with a phenomenographic research approach.
RESULTS
The GPs conceived outcomes in four ways: patient outcomes, GPs' self-evaluation, relationship building and change of surgery routines.
CONCLUSION
Patient outcomes, as conceived by the GPs, were generally congruent with those that had been taken up in outcome studies. Relationship building and change of surgery routines were outcomes in preparation for consultations to come. GPs made self-assessments related to internalized norms, grounded on a perceived collegial professional consensus. Considerations of such different aspects of outcomes can inspire professional development.
背景
全科医生会诊的结果主要通过疾病特异性指标以及患者关于健康、满意度、赋能和质量的问卷调查来衡量。本研究的目的是探讨全科医生对会诊结果的看法。
方法
采用现象学研究方法，对17名全科医生进行了分组和单独访谈，内容涉及近期会诊的结果。
结果
全科医生从四个方面构想了会诊结果：患者结果、全科医生的自我评估、关系建立和诊疗常规的改变。
结论
全科医生所构想的患者结果通常与会诊结果研究中所采用的结果一致。关系建立和诊疗常规的改变是为即将到来的会诊所做的准备。全科医生根据内化的规范进行自我评估，这种规范基于一种公认的同行专业共识。对会诊结果这些不同方面的考量可以促进专业发展。
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