Alberta Health Services, Calgary, Alberta, Canada.
Can J Aging. 2012 Jun;31(2):223-33. doi: 10.1017/S0714980812000086.
Many patients, particularly older patients, interact with multiple providers while accessing health care services in a variety of different settings over extended periods of time. Understanding older patients' experiences of their journeys through the health system is critical to improving service integration and quality of care. In this study, we have summarized the experiences of four patients living with chronic obstructive pulmonary disease as they interacted with the health care system over a three-month period following hospital discharge. Guided by case study methodology, we gathered data through semi-structured interviews and patient logs. Three overarching themes - social support, system navigation, and access - emerged from the data. Attending to provider-patient and provider-provider communication, and to patient social support and self-care needs, could improve integration and care outcomes. Achieving what patients perceive as an integrated and effective system will require time and commitment.
许多患者，尤其是老年患者，在不同环境中接受医疗服务时会与多个医疗服务提供者互动，时间跨度也较长。了解老年患者在整个医疗系统中的就诊体验，对于改善服务整合和医疗质量至关重要。在这项研究中，我们总结了 4 名慢性阻塞性肺疾病患者在出院后 3 个月内与医疗系统互动的经历。我们采用案例研究方法，通过半结构化访谈和患者日志收集数据。数据中出现了三个总体主题——社会支持、系统导航和可及性。关注医患沟通、医医沟通以及患者的社会支持和自我护理需求，可能会改善服务整合和医疗效果。患者所期望的整合和有效的系统需要时间和承诺才能实现。
