“他们从未跟我谈过……”：老年护理机构居民转至急诊科的相关观点
'They never talked to me about... ': Perspectives on aged care resident transfer to emergency departments.
作者信息
Arendts Glenn, Popescu Aurora, Howting Denise, Quine Susan, Howard Kirsten
机构信息
Centre for Clinical Research in Emergency Medicine, Western Australian Institute for Medical Research, Perth, Western Australia, Australia.
School of Primary, Aboriginal and Rural Health Care, University of Western Australia, Perth, Western Australia, Australia.
出版信息
Australas J Ageing. 2015 Jun;34(2):95-102. doi: 10.1111/ajag.12125. Epub 2013 Dec 26.
AIMS
To explore perspectives of three groups concerning transfers from aged care facilities to emergency departments. We sought to reveal factors influencing transfer decisions; how active each group was in making decisions; and to what extent groups ceded decision-making to others.
METHODS
Semi-structured interviews of 11 residents, 14 relatives and 17 staff with content analysis of interview transcripts.
RESULTS
The three groups substantially differed in their involvement with initiating, and attitudes towards, transfer. Residents were least likely to be involved in the decision, yet most likely to support transfer. Staff felt conflicted between their desire to provide optimal treatment for one ill resident, and their obligations to other residents under care. Staff perspectives were largely consistent with published data, but we describe new results for other informant groups.
CONCLUSIONS
Group expectations and preferences differ substantially. Service delivery to meet all preferences presents a challenge for health service design.
目的
探讨三组人群对于从老年护理机构转至急诊科的看法。我们试图揭示影响转院决策的因素；每组人群在决策过程中的积极程度；以及每组人群将决策权让渡给其他方的程度。
方法
对11名居民、14名亲属和17名工作人员进行半结构化访谈，并对访谈记录进行内容分析。
结果
三组人群在发起转院以及对转院的态度方面存在显著差异。居民参与决策的可能性最小，但最有可能支持转院。工作人员在为一名患病居民提供最佳治疗的愿望与对其他受护理居民的责任之间感到矛盾。工作人员的观点在很大程度上与已发表的数据一致，但我们描述了其他信息提供者群体的新结果。
结论
不同群体的期望和偏好存在很大差异。满足所有偏好的服务提供对卫生服务设计构成了挑战。
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