获取农村卫生服务：一项定性叙事老年学研究的结果
Accessing rural health services: Results from a qualitative narrative gerontological study.
作者信息
Neville Stephen, Napier Sara, Adams Jeffery, Shannon Kay
机构信息
Department of Nursing, Auckland University of Technology, Auckland, New Zealand.
School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.
出版信息
Australas J Ageing. 2020 Mar;39(1):e55-e61. doi: 10.1111/ajag.12694. Epub 2019 Jun 28.
OBJECTIVE
Explore how older adults' talk about accessing rural community health services.
METHODS
A qualitative narrative gerontological approach explored issues related to accessing health services in their community. Semi-structured digitally recorded individual interviews were undertaken with 32 community-dwelling older people aged between 75 and 93 years. A narrative data analytic process was undertaken. The COnsolidated criteria for REporting Qualitative research guidelines were followed to ensure rigour in this study.
RESULTS
Three collective narratives resulted from the data analytic process: (a) "accessing local health services"; (b) "accessing specialist services"; and (c) "accessing emergency services."
CONCLUSIONS
Narrators identified a number of issues related to accessing rural health services. These included long waiting times, lack of continuity in care provision by doctors and difficulties accessing specialist and emergency services. Nurses were frequently cited as a reliable point of contact for these older people. Expansion of nursing roles would enhance the provision of rural health-care services.
目的
探究老年人如何谈论获得农村社区卫生服务的情况。
方法
采用定性叙事老年学方法探讨与在其社区获得卫生服务相关的问题。对32名年龄在75至93岁之间居住在社区的老年人进行了半结构化数字录音的个人访谈。进行了叙事数据分析过程。遵循定性研究报告的统一标准指南以确保本研究的严谨性。
结果
数据分析过程产生了三个集体叙事：（a）“获得当地卫生服务”；（b）“获得专科服务”；（c）“获得紧急服务”。
结论
讲述者指出了一些与获得农村卫生服务相关的问题。这些问题包括等待时间长、医生提供护理缺乏连续性以及获得专科和紧急服务困难。护士经常被这些老年人视为可靠的联系点。扩大护理角色将加强农村卫生保健服务的提供。
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