Caneiras Cátia, Jácome Cristina, Oliveira Daniela, Moreira Emília, Dias Cláudia Camila, Mendonça Liliane, Mayoralas-Alises Sagrario, Almeida Fonseca João, Diaz-Lobato Salvador, Escarrabill Joan, Winck João Carlos
Microbiology Research Laboratory on Environmental Health (EnviHealthMicro Lab), Institute of Environmental Health (ISAMB), Faculty of Medicine, University of Lisbon, 1649-028 Lisbon, Portugal.
Institute for Preventive Medicine and Public Health, Faculty of Medicine, University of Lisbon, 1649-028 Lisbon, Portugal.
Healthcare (Basel). 2021 Nov 9;9(11):1523. doi: 10.3390/healthcare9111523.
Patients' and carers' views regarding the Portuguese model of home respiratory care were recently described, yet the complementary perspective of healthcare professionals (HCPs) is still to be investigated. Thus, this study explored HCPs experience in the management of patients needing home respiratory therapies (HRT), and their perspective about the Portuguese model. A phenomenological descriptive study, using focus groups, was carried out with 28 HCPs (median 42 y, 68% female) with distinct backgrounds (57% pulmonologists, 29% clinical physiologists, 7% physiotherapists, 7% nurses). Three focus groups were conducted in three regions of Portugal. Thematic analysis was performed by two independent researchers. HCPs have in general a positive view about the organization of the Portuguese model of home respiratory care, which was revealed in four major topics: Prescription (number of references, = 171), Implementation and maintenance ( = 162), Carer involvement ( = 65) and Quality of healthcare ( = 247). Improvements needed were related to patients' late referral, HRT prescription (usability of the medical electronic prescription system and renewals burden), patients' education, access to hospital care team, lack of multidisciplinary work and articulation between hospital, primary and home care teams. This study describes the perspective of HCPs about the Portuguese model of home respiratory care and identifies specific points where improvements and reflections are needed. This knowledge may be useful to decision makers improve the current healthcare model.
最近描述了患者及其护理人员对葡萄牙家庭呼吸护理模式的看法，但医疗保健专业人员（HCPs）的补充观点仍有待研究。因此，本研究探讨了HCPs在管理需要家庭呼吸治疗（HRT）的患者方面的经验，以及他们对葡萄牙模式的看法。采用焦点小组进行了一项现象学描述性研究，研究对象为28名背景各异的HCPs（年龄中位数42岁，68%为女性）（57%为肺科医生，29%为临床生理学家，7%为物理治疗师，7%为护士）。在葡萄牙的三个地区进行了三个焦点小组讨论。由两名独立研究人员进行主题分析。HCPs总体上对葡萄牙家庭呼吸护理模式的组织持积极看法，这在四个主要主题中得以体现：处方（提及次数=171）、实施与维持（=162）、护理人员参与（=65）和医疗质量（=247）。需要改进的方面涉及患者转诊延迟、HRT处方（医疗电子处方系统的可用性和续方负担）、患者教育、获得医院护理团队的服务、缺乏多学科合作以及医院、初级保健和家庭护理团队之间的衔接。本研究描述了HCPs对葡萄牙家庭呼吸护理模式的看法，并确定了需要改进和思考的具体要点。这些知识可能有助于决策者改进当前的医疗保健模式。
