Gill Ashlinder, Kuluski Kerry, Jaakkimainen Liisa, Naganathan Gayathri, Upshur Ross, Wodchis Walter P
Graduate Student, Institute of Health Policy, Management & Evaluation, University of Toronto, Bridgepoint Collaboratory for Research and Innovation, Bridgepoint Active Healthcare, Toronto, ON.
Research Scientist, Bridgepoint Collaboratory for Research and Innovation, Bridgepoint Active Healthcare, Institute of Health Policy, Management & Evaluation, University of Toronto, Toronto, ON.
Healthc Policy. 2014 May;9(4):73-89.
OBJECTIVES: This study explored the care challenges experienced by older patients with multimorbidity, their informal caregivers and family physicians. APPROACH: Semi-structured interviews were conducted with 27 patients, their informal caregivers and family physicians. Qualitative description was used to identify key themes in the interview transcripts. RESULTS: Participants experienced many common challenges when managing multimorbidity, including a lack of decision-making support, poor communication and uncoordinated health services. Within these themes, unique perspectives specific to the role of being a patient, caregiver or family physician emerged. CONCLUSION: The study adds to a limited evidence base on the experience of patients with multimorbidity. By including the perspectives of their family caregivers and physicians, we provide important insight into the management of multimorbidity and recommend the uptake of specific strategies to address them.
目的：本研究探讨了患有多种慢性病的老年患者、他们的非正式照护者以及家庭医生所面临的照护挑战。 方法：对27名患者、他们的非正式照护者和家庭医生进行了半结构化访谈。采用定性描述方法来确定访谈记录中的关键主题。 结果：参与者在管理多种慢性病时遇到了许多共同的挑战，包括缺乏决策支持、沟通不畅以及医疗服务不协调。在这些主题中，出现了患者、照护者或家庭医生角色所特有的独特观点。 结论：该研究为关于患有多种慢性病患者经历的有限证据库增添了内容。通过纳入家庭照护者和医生的观点，我们对多种慢性病的管理提供了重要见解，并建议采用特定策略来应对这些问题。
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