Egger Garry, Dixon John, Meldrum Hamish, Binns Andrew, Cole Mary-Anne, Ewald Dan, Stevens John
AM, MPH, PhD, Adjunct Professor of Health and Applied Sciences, Southern Cross University, and Centre for Health Promotion and Research, New South Wales.
Aust Fam Physician. 2015 Sep;44(9):674-9.
Shared medical appointments (SMAs) are comprehensive medical visits conducted with groups of patients. We have previously discussed the potential and assessed likely support for SMAs in Australia. In this paper, we report on patient and provider satisfaction, and some subjective outcomes.
To measure patients' and providers' attitude and satisfaction with SMAs after attending at least two, and consider the most appropriate form of SMA suited to Australian conditions.
A total of 24 SMAs were conducted in eight medical centres in New South Wales, South Australia and Queensland. Satisfaction and subjective outcomes from these sessions were tested in a mixed method analysis after more than 200 attendances.
Satisfaction with SMAs was high among patients and providers. Almost all of the patients involved said they would continue using SMAs, if these were available. All providers wished to continue being involved as an alternative form of clinical management.
The results of this pilot study, and our previously reported studies, suggest that SMAs could be a valuable process tool in chronic disease management in Australia.
共享医疗预约(SMA)是针对一组患者进行的全面医疗就诊。我们之前曾讨论过SMA在澳大利亚的潜力,并评估了可能获得的支持。在本文中,我们报告了患者和提供者的满意度以及一些主观结果。
在至少参加两次共享医疗预约后,衡量患者和提供者对其的态度和满意度,并考虑适合澳大利亚情况的最合适的共享医疗预约形式。
在新南威尔士州、南澳大利亚州和昆士兰州的八个医疗中心共进行了24次共享医疗预约。在200多次就诊后,通过混合方法分析对这些环节的满意度和主观结果进行了测试。
患者和提供者对共享医疗预约的满意度很高。几乎所有参与的患者都表示,如果有共享医疗预约,他们会继续使用。所有提供者都希望继续参与,将其作为一种替代的临床管理形式。
这项试点研究的结果以及我们之前报告的研究表明,共享医疗预约可能是澳大利亚慢性病管理中有价值的流程工具。