居家初级保健提供者面临的压力源。
Stressors Facing Home-Based Primary Care Providers.
作者信息
O'Brien Katherine, Bradley Sara, Ramirez-Zohfeld Vanessa, Lindquist Lee
机构信息
Division of General Internal Medicine and Geriatrics, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
出版信息
Geriatrics (Basel). 2019 Jan 28;4(1):17. doi: 10.3390/geriatrics4010017.
The numbers of homebound patients in the United States are increasing. Home-based primary care (HBPC) is an effective model of interdisciplinary care that has been shown to have high patient satisfaction rates and excellent clinical outcomes. However, there are few clinicians that practice HBPC and clinicians that do face additional stressors. This study sought to better understand the stressors that HBPC providers face in caring for homebound patients. This was a cross-sectional qualitative survey and analysis of HBPC providers. Responses were categorized into four themes: The patient in the home setting, caregiver support, logistics, and administrative concerns. This research is the first to analyze the stressors that providers of HBPC face in serving the needs of complex homebound patients. Awareness and attention to these issues will be important for the future sustainability of home-based primary care.
美国居家患者的数量正在增加。居家初级保健（HBPC）是一种有效的跨学科护理模式，已被证明具有很高的患者满意度和出色的临床效果。然而，从事HBPC的临床医生很少，而从事该工作的临床医生确实面临额外的压力源。本研究旨在更好地了解HBPC提供者在照顾居家患者时所面临的压力源。这是一项对HBPC提供者的横断面定性调查和分析。回答被分为四个主题：居家环境中的患者、护理人员支持、后勤和行政问题。这项研究首次分析了HBPC提供者在满足复杂居家患者需求时所面临的压力源。认识并关注这些问题对于居家初级保健未来的可持续性至关重要。
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