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从用户角度看的连续性护理。

Continuity of care from the perspective of users.

作者信息

Mendes Felismina Rosa P, Gemito Maria Laurência G Parreirinha, Caldeira Ermelinda do Carmo, Serra Isaura da Conceição, Casas-Novas Maria Vitória

机构信息

Departamento de Enfermagem, Universidade de Évora; Centro de Investigação em Desporto, Saúde e Desenvolvimento Humano (CIDESD-UEvora). Largo Senhor da Pobreza. 7000-811 Évora Portugal.

Departamento de Enfermagem, Universidade de Évora. Évora Portugal.

出版信息

Cien Saude Colet. 2017 Mar;22(3):841-853. doi: 10.1590/1413-81232017223.26292015.

DOI:10.1590/1413-81232017223.26292015
PMID:28300992
Abstract

Continuity of care, in addition to ensuring improvement of the quality of care, contributes to the reduction of health costs. The objective of this study was to analyse the continuity of care in health units in the municipality of Évora (south of Portugal), from the perspective of users. This is across-sectional, exploratory and descriptive study with a quantitative approach, with a sample consisting of 342 users of health units. The instrument was a questionnaire adapted from English and Spanish studies. The results show that elements of continuity were identified in the different dimensions of the continuity of care - relational, management, information and some items of flexible continuity. Longitudinal continuity has the lowest values in nursing care. In conclusion, what stands out positively, and in its different dimensions, is relational continuity, in which most users recommend their family doctor and nurse to family and friends, and flexible continuity, which translates into reduced waiting times to be attended by a doctor or nurse and access to care. What stands out negatively is the weak involvement of the user in care by health professionals, in the dimensions of relational continuity.

摘要

除了确保提高护理质量外,连续性护理还有助于降低医疗成本。本研究的目的是从用户角度分析葡萄牙南部埃武拉市卫生机构的连续性护理情况。这是一项采用定量方法的横断面、探索性和描述性研究,样本包括342名卫生机构用户。研究工具是一份根据英语和西班牙语研究改编的问卷。结果表明,在连续性护理的不同维度——关系、管理、信息以及一些灵活连续性项目中都发现了连续性要素。纵向连续性在护理方面得分最低。总之,在其不同维度中,积极突出的是关系连续性,其中大多数用户会向家人和朋友推荐他们的家庭医生和护士,以及灵活连续性,这表现为看医生或护士的等待时间缩短以及获得护理服务。消极突出的是在关系连续性维度中,用户在护理中较少得到卫生专业人员的参与。

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