Greer Raquel C, Crews Deidra C, Boulware L Ebony
Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
J Ren Care. 2012 Dec;38(4):174-81. doi: 10.1111/j.1755-6686.2012.00323.x.
To identify primary care providers' (PCPs) perceived barriers to educating patients about chronic kidney disease (CKD) during routine clinical visits.
We conducted three focus groups of eighteen PCPs in Baltimore, Maryland (MD), USA. Focus groups began with the presentation of a hypothetical case of a patient with CKD, followed by open-ended questions to assess providers' perceived barriers to delivering education about CKD. Groups were audiotaped, transcribed and coded independently by two investigators who identified major themes.
PCPs reported on several patient, provider and system level barriers contributing to poor education about CKD in primary care that were both common and unique to barriers previously reported in educating patients regarding other chronic diseases.
Interventions designed to address barriers to CKD education identified by PCPs could improve the delivery of education about CKD in primary care settings.
确定基层医疗服务提供者(PCP)在常规临床诊疗过程中,认为在对慢性肾脏病(CKD)患者进行教育时存在的障碍。
我们在美国马里兰州巴尔的摩对18名基层医疗服务提供者开展了3次焦点小组讨论。焦点小组讨论开始时展示了一个CKD患者的假设病例,随后提出开放式问题,以评估提供者在提供CKD教育方面所感知到的障碍。小组讨论进行了录音,由两名研究人员独立转录并编码,他们确定了主要主题。
基层医疗服务提供者报告了几个在患者、提供者和系统层面上导致基层医疗中CKD教育不足的障碍,这些障碍在以往针对其他慢性病患者教育中所报告的障碍中既有共性也有独特之处。
旨在解决基层医疗服务提供者所确定的CKD教育障碍的干预措施,可能会改善基层医疗环境中CKD教育的提供情况。