临床医生报告的小组就诊实施障碍。
Clinician-Reported Barriers to Group Visit Implementation.
作者信息
Careyva Beth A, Johnson Melanie B, Goodrich Samantha A, Shaak Kyle, Stello Brian
机构信息
Lehigh Valley Health Network, Allentown, PA, USA
Lehigh Valley Health Network, Allentown, PA, USA.
出版信息
J Prim Care Community Health. 2016 Jul;7(3):188-93. doi: 10.1177/2150131916631924. Epub 2016 Feb 16.
BACKGROUND
Group visits have been shown to improve disease-oriented outcomes and satisfaction, yet many clinicians have not incorporated them into practice. We aimed to identify clinician-reported barriers that preclude clinicians from implementing group visits.
METHODS
Primary care physicians from one practice-based research network were surveyed regarding their experience with and barriers to group visits. The survey, developed for this study, was mailed to 246 clinicians.
RESULTS
Of 107 respondents (44% response rate), those in practice <10 years were significantly more likely to have had group visit experience than those with >10 years of experience. For those without prior group visit experience, training was named as the top barrier to incorporating group visits. Those with group visit experience named staffing concerns and recruitment as the top barriers to group visit implementation.
CONCLUSIONS
Primary care clinicians without prior group visit experience were less likely to endorse group visits. Addressing the modifiable barriers may enhance the incorporation of group visits into practice.
背景
小组问诊已被证明能改善疾病相关结局并提高满意度，但许多临床医生尚未将其纳入实践。我们旨在确定临床医生报告的阻碍他们实施小组问诊的因素。
方法
对来自一个基于实践的研究网络的初级保健医生进行了关于他们小组问诊的经验和阻碍的调查。为本研究开发的调查问卷被邮寄给246名临床医生。
结果
在107名受访者（回复率44%）中，执业时间<10年的医生比执业时间>10年的医生更有可能有小组问诊经验。对于那些没有小组问诊经验的医生，培训被认为是纳入小组问诊的最大障碍。有小组问诊经验的医生将人员配备问题和招募列为小组问诊实施的最大障碍。
结论
没有小组问诊经验的初级保健临床医生不太可能认可小组问诊。解决这些可改变的障碍可能会促进小组问诊在实践中的应用。
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