Wells Breanne M, Salsbury Stacie A, Nightingale Lia M, Derby Dustin C, Lawrence Dana J, Goertz Christine M
Technique Department, Palmer College of Chiropractic, Davenport, IA, USA.
Palmer Center for Chiropractic Research, Palmer College of Chiropractic, Davenport, IA, USA.
J Patient Exp. 2020 Aug;7(4):507-515. doi: 10.1177/2374373519860347. Epub 2019 Jul 8.
The study focused on perceptions of older adults toward the healthcare processes they experienced during a clinical trial for back pain that involved family medicine residents and licensed chiropractors.
Individual semi-structured interviews were conducted with 115 older adults after a 12-week, 3-arm, randomized controlled trial. Two researchers conducted thematic analysis with inductive coding using qualitative software to identify participants' salient experiences of the doctor-patient relationship, healthcare process, and collaboration between study providers. Investigators categorized thematic codes within an existing framework of clinical excellence in primary care.
Participants emphasized provider communication and interpersonal relationships, professionalism and passion for patient care, clinical and diagnostic acumen, and skillful negotiation of the health-care system. Older adults also described the importance of interdisciplinary collaboration and their preferences for receiving hands-on treatments for musculoskeletal conditions.
These older adults valued doctors who communicated clearly and spent time listening to their concerns. Many participants appreciated clinicians who supported an active role for patients in their health-care and who provided touch-based care for musculoskeletal conditions.
该研究聚焦于老年人对他们在一项涉及家庭医学住院医师和有执照脊椎按摩师的背痛临床试验中所经历的医疗过程的看法。
在一项为期12周、三臂、随机对照试验结束后，对115名老年人进行了个体半结构化访谈。两名研究人员使用定性软件进行归纳编码的主题分析，以确定参与者在医患关系、医疗过程以及研究提供者之间合作方面的显著经历。研究人员在初级保健临床卓越的现有框架内对主题代码进行了分类。
参与者强调了提供者的沟通和人际关系、对患者护理的专业精神和热情、临床和诊断敏锐度以及对医疗保健系统的巧妙协商。老年人还描述了跨学科合作的重要性以及他们对接受肌肉骨骼疾病动手治疗的偏好。
这些老年人重视那些沟通清晰并花时间倾听他们担忧的医生。许多参与者赞赏那些支持患者在其医疗保健中发挥积极作用并为肌肉骨骼疾病提供基于触摸护理的临床医生。
