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社区卫生中心初级保健就诊期间提供健康教育的障碍:临床工作人员的见解

Barriers to Providing Health Education During Primary Care Visits at Community Health Centers: Clinical Staff Insights.

作者信息

Alicea-Planas Jessica, Pose Alix, Smith Linda

机构信息

School of Nursing, Fairfield University, 1073 North Benson Road, Fairfield, CT, 06824, USA.

Quality Improvement, Optimus Healthcare, Inc., 982 East Main Street, Bridgeport, CT, 06608, USA.

出版信息

J Community Health. 2016 Apr;41(2):220-5. doi: 10.1007/s10900-015-0085-2.

DOI:10.1007/s10900-015-0085-2
PMID:26316006
Abstract

The rapid increase of diverse patients living in the US has created a different set of needs in healthcare, with the persistence of health disparities continuing to challenge the current system. Chronic disease management has been discussed as a way to improve health outcomes, with quality patient education being a key component. Using a community based participatory research framework, this study utilized a web-based survey and explored clinical staff perceptions of barriers to providing patient education during primary care visits. With a response rate of nearly 42 %, appointment time allotment seemed to be one of the most critical factors related to the delivery of health education and should be considered key. The importance of team-based care and staff training were also significant. Various suggestions were made in order to improve the delivery of quality patient education at community health centers located in underserved areas.

摘要

生活在美国的不同患者数量迅速增加,这在医疗保健领域产生了一系列不同的需求,健康差距的持续存在继续给当前的医疗体系带来挑战。慢性病管理已被视为改善健康结果的一种方式,高质量的患者教育是其中的关键组成部分。本研究采用基于社区的参与性研究框架,利用网络调查,探讨了临床工作人员对在初级保健就诊期间提供患者教育的障碍的看法。回复率近42%,预约时间分配似乎是与健康教育提供相关的最关键因素之一,应被视为关键因素。团队协作护理和员工培训的重要性也很显著。为了改善在服务不足地区的社区健康中心提供高质量患者教育的情况,提出了各种建议。

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2
Differences in the delivery of health education to patients with chronic disease by provider type, 2005-2009.不同类型医疗服务提供者在 2005-2009 年为慢性病患者提供健康教育的差异。
Prev Chronic Dis. 2014 Mar 6;11:E33. doi: 10.5888/pcd11.130175.
3
Community health centers and the patient-centered medical home: challenges and opportunities to reduce health care disparities in America.
社区卫生系统中的候诊室教育:提供者的看法与建议
J Community Health. 2016 Dec;41(6):1196-1203. doi: 10.1007/s10900-016-0201-y.
社区卫生中心与以患者为中心的医疗之家:美国减少医疗保健差距面临的挑战与机遇
J Health Care Poor Underserved. 2012 Aug;23(3):949-57. doi: 10.1353/hpu.2012.0099.
4
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J Health Care Poor Underserved. 2013 Feb;24(1):56-66. doi: 10.1353/hpu.2013.0022.
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