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视而不见?对欧洲边境地区跨境医疗保健的患者观点的定性研究。

Out of sight, out of mind? A qualitative study of patients' perspectives on cross-border healthcare in a European border region.

机构信息

Department of Educational Development and Research/School of Health Professions Education, Maastricht University, Maastricht, The Netherlands.

Department of Educational Development and Research/School of Health Professions Education, Maastricht University, Maastricht, The Netherlands.

出版信息

Patient Educ Couns. 2021 Oct;104(10):2559-2564. doi: 10.1016/j.pec.2021.03.004. Epub 2021 Mar 9.

Abstract

OBJECTIVE

To improve our understanding of patients' needs in cross-border healthcare, with a specific focus on handover.

METHODS

In this qualitative study, we conducted narrative interviews with 8 patients who had experienced cross-border healthcare, including handover. Based on an inductive analysis, we crafted stories representing participants' perspectives. Crafted stories attend to the personal character of patients' experiences.

RESULTS

We crafted 3 stories relating patients' cross-border healthcare pathways. We identified 3 recurring issues in these stories: (1) Patient involvement in the decision-making process regarding their healthcare; (2) Communication with their healthcare providers; and (3) Information throughout the healthcare process.

CONCLUSION

The said issues, albeit no novelty in healthcare, seem to be amplified by cross-border barriers, such as system, language, and cultural differences. To empower patients to be involved in their own healthcare process, these issues should become a topic of conversation between patients and healthcare professionals.

PRACTICE IMPLICATIONS

The patient stories in this article could help raise awareness among professionals and patients about the issues patients face in cross-border healthcare. Awareness is a first step in overcoming these issues.

摘要

目的

提高我们对跨境医疗中患者需求的理解,特别是交接方面。

方法

在这项定性研究中,我们对 8 名经历过跨境医疗(包括交接)的患者进行了叙述性访谈。基于归纳分析,我们撰写了代表参与者观点的故事。撰写的故事关注患者体验的个人特征。

结果

我们撰写了 3 个与患者跨境医疗途径相关的故事。我们在这些故事中确定了 3 个反复出现的问题:(1)患者参与决策过程的程度,涉及他们的医疗保健;(2)与医疗保健提供者的沟通;(3)医疗过程中的信息。

结论

尽管这些问题在医疗保健中并非新颖,但跨境障碍(如系统、语言和文化差异)似乎放大了这些问题。为了使患者能够参与自己的医疗保健过程,这些问题应该成为患者和医疗保健专业人员之间对话的主题。

实践意义

本文中的患者故事可以帮助专业人员和患者提高对跨境医疗中患者面临的问题的认识。意识是克服这些问题的第一步。

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