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患有慢性病的澳大利亚老年人的初级保健经历。

Primary care experience of older Australians with chronic illness.

作者信息

Saunders Carla, Carter David, Brown James J

机构信息

Centre for Health Services Management, Faculty of Health, University of Technology Sydney, Building 10, Jones Street, Ultimo, NSW 2007, Australia; and Corresponding author. Email:

Faculty of Law, University of Technology Sydney, Building 5B, Quay Street, Haymarket, NSW 2007, Australia.

出版信息

Aust J Prim Health. 2019 Mar;25(1):13-18. doi: 10.1071/PY18098.

Abstract

This large (>1000) cross-sectional study investigates patient-reported primary care experiences of older people with chronic illness. Previous research has found that approximately half of patients with chronic illness receive optimal chronic illness care and outcomes in Australian general practice. A survey was administered via a double opt-in panel method to people aged ≥55 years who have one or more self-reported major chronic diseases (diabetes and/or chronic heart, kidney, lung, mental health and/or musculoskeletal conditions). Health professionals were found to be important to the majority of Australians surveyed. Well-known chronic illness support resources such as care plans and recalls/reminders were reported to be wanting by up to 50 per cent of respondents. Across all chronic illness groups, <42 per cent of respondents reported the provision of information on community resources and 25 per cent reported not having a sound understanding about their medications. Regular local surveys for older people with chronic illness would allow a timely understanding of primary care experiences, needs and preferences of this group, to support quality improvement and drive enhanced patient outcomes.

摘要

这项大型(超过1000例)横断面研究调查了慢性病老年人患者报告的初级保健体验。此前的研究发现,在澳大利亚的普通医疗实践中,约一半的慢性病患者获得了最佳的慢性病护理和治疗结果。通过双重选择加入面板法对年龄≥55岁且自我报告患有一种或多种主要慢性病(糖尿病和/或慢性心脏、肾脏、肺部、心理健康和/或肌肉骨骼疾病)的人群进行了调查。结果发现,医疗专业人员对大多数接受调查的澳大利亚人来说很重要。高达50%的受访者表示,他们需要诸如护理计划和召回/提醒等知名的慢性病支持资源。在所有慢性病群体中,<42%的受访者表示获得了关于社区资源的信息,25%的受访者表示对自己的药物没有充分了解。定期对患有慢性病的老年人进行本地调查,将有助于及时了解该群体的初级保健体验、需求和偏好,以支持质量改进并推动改善患者治疗结果。

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