Griffith University Menzies Health Institute of Queensland, Gold Coast 4222, Australia.
School of Health Sciences and Social Work, Griffith University, Gold Coast 4222, Australia.
Fam Pract. 2022 May 28;39(3):471-478. doi: 10.1093/fampra/cmab136.
Primary healthcare is the ideal setting to address diet-related disease through delivery of nutrition services. However, quality nutrition care has not previously been defined from the healthcare consumer perspective.
To explore, and develop a theoretical model of, healthcare consumer expectations of quality nutrition care in the primary healthcare setting.
A qualitative study design collected data describing healthcare consumer expectations of nutrition care. Consumers were recruited through social media and research networks, screened, and invited to participate in a semi-structured telephone interview. Interviews explored experiences and views of nutrition care. Interviews were thematically analysed, and informed development of a model using an iterative process.
Twenty-three healthcare consumers participated in an interview. Five themes were identified. The Quality in Nutrition Care consumer model developed from these themes comprised 5 interconnected components, these being: (i) quality nutrition care occurs within an integrated societal system; (ii) quality nutrition care is available, accessible, and affordable; (iii) quality nutrition care is up-to-date and evidence based; (iv) quality nutrition care is underpinned by positive relationships; and (v) quality nutrition care is personalized to consumer needs.
The consumer-derived model of quality nutrition care can be used by providers to inform activities that enhance primary healthcare practice, outcomes, and impact. The model has important implications for primary healthcare system reform and policy. Future research should explore the provision of dietetic services in primary care, with specific focus on factors that influence quality care, and investigate how quality is monitored and improved.
初级保健是通过提供营养服务解决与饮食相关疾病的理想场所。然而，从医疗保健消费者的角度来看，高质量的营养护理尚未得到定义。
从初级保健环境中探索和制定医疗保健消费者对优质营养护理的期望的理论模型。
采用定性研究设计，收集描述医疗保健消费者对营养护理期望的数据。通过社交媒体和研究网络招募消费者进行筛选，并邀请他们参加半结构化电话访谈。访谈探讨了营养护理的经验和观点。使用迭代过程对访谈进行主题分析，并为模型的开发提供信息。
23 名医疗保健消费者参加了一次访谈。确定了五个主题。从这些主题中开发的“消费者营养护理质量模型”由 5 个相互关联的部分组成，即：（i）优质营养护理发生在一个综合的社会体系内；（ii）优质营养护理是可及、可及且负担得起的；（iii）优质营养护理是最新的和基于证据的；（iv）优质营养护理是基于积极的关系；（v）优质营养护理针对消费者的需求进行个性化定制。
该模型可以为提供者提供信息，以提高初级保健实践、结果和影响。该模型对初级保健系统改革和政策具有重要意义。未来的研究应该探索在初级保健中提供饮食服务，重点关注影响优质护理的因素，并调查如何监测和提高质量。
