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[智利圣地亚哥用户对家庭与社区综合医疗模式的认知]

[Perception of users about an Integral Model of Family and Community Health care in Santiago, Chile].

作者信息

Dois Angelina, Contreras Aixa, Bravo Paulina, Mora Isabel, Soto Gabriela, Solís Claudia

出版信息

Rev Med Chil. 2016 May;144(5):585-92. doi: 10.4067/S0034-98872016000500005.

Abstract

BACKGROUND

The integral Model of Family and Community Health care is based on three essential principles: patient centered care, comprehensive care and continuity of care.

AIM

To know the perception of primary care clinic users about the elements that should be considered in a patient centered integrated health care.

MATERIAL AND METHODS

Ten males and 31 females aged 18 to 78 years, users of two public family primary care centers participated in focus groups, which were recorded. A qualitative descriptive research design based on content analysis according to Krippendorf was done.

RESULTS

Seven issues emerged from the description of patients’ experiences: professional-patient relationship, fragmentation of care, continued care with the same professional, promotion and prevention, availability of services and patient records.

CONCLUSIONS

There are difficulties to install an integral model of family and community health care. The concerns raised by participants should be considered in order to modify the design of these models.

摘要

背景

家庭与社区医疗保健整体模式基于三项基本原则:以患者为中心的护理、全面护理和护理连续性。

目的

了解基层医疗诊所使用者对以患者为中心的综合医疗保健中应考虑要素的看法。

材料与方法

10名年龄在18至78岁之间的男性和31名女性,作为两个公共家庭基层医疗中心的使用者参与了焦点小组讨论,并进行了记录。采用了基于克里彭多夫内容分析的定性描述性研究设计。

结果

从患者经历描述中出现了七个问题:医患关系、护理碎片化、由同一名专业人员持续护理、促进与预防、服务可及性和患者记录。

结论

建立家庭与社区医疗保健整体模式存在困难。应考虑参与者提出的问题,以便修改这些模式的设计。

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