Suppr超能文献

非传染性疾病患者综合评估中医疗从业者面临的挑战:初步调查。

Challenges that healthcare practitioners experience in the comprehensive assessment of patients with non-communicable diseases: a preliminary investigation.

机构信息

University of Johannesburg, Faculty of Health Science, Department of Sport and Movement Studies.

出版信息

Afr Health Sci. 2021 Sep;21(3):1282-1290. doi: 10.4314/ahs.v21i3.39.

Abstract

BACKGROUND

Resource allocation and access to comprehensive treatment in the public healthcare sector are always under pressure. This pressure takes the form of staff shortages, treatment models and the holistic care of patients, compromising basic healthcare in South Africa.

OBJECTIVES

The study's aim was to determine the challenges that healthcare practitioners experience while assessing patients with non-communicable diseases, in private and public healthcare sectors in the Gauteng Province of South Africa.

METHODS

The research design was exploratory and contextual. Qualitative data were collected through focus groups and semi-structured interviews among healthcare practitioners (n = 12). Data analysis took place using Atlas.ti 8.4 Windows (2020). Inter-rater reliability (r = 93.68%) was calculated to ensure the rigour and validity of the results.

RESULTS

From the discussion, four themes emerged: 1) limited consultation time; 2) overwhelming economic impact and healthcare cost for facilities and patients; 3) holistic patient care encompassing physical, mental and socioeconomic components; and 4) lack of patient education due to time constraints experienced by healthcare practitioners.

CONCLUSION

Consultation times are reduced due to a shortage of medical staff, patient numbers, equipment, and poor working conditions. By improving these conditions, patients across all socioeconomic groups will be better assisted, treated, and educated, benefiting from equal access and quality healthcare.

摘要

背景

公共医疗保健部门的资源分配和综合治疗的可及性一直面临压力。这种压力表现为人员短缺、治疗模式和患者的整体护理,从而影响了南非的基本医疗保健。

目的

本研究旨在确定在南非豪登省的私人和公共医疗保健部门中,医疗保健从业者在评估非传染性疾病患者时所面临的挑战。

方法

研究设计为探索性和情境性。通过焦点小组和半结构化访谈,收集了医疗保健从业者(n = 12)的定性数据。使用 Atlas.ti 8.4 Windows(2020)进行数据分析。计算了组内相关系数(r = 93.68%),以确保结果的严谨性和有效性。

结果

从讨论中出现了四个主题:1)咨询时间有限;2)设施和患者的经济负担过重;3)涵盖身体、心理和社会经济方面的整体患者护理;4)由于医疗保健从业者的时间限制,患者教育的缺乏。

结论

由于医务人员短缺、患者数量、设备和恶劣的工作条件,咨询时间缩短。通过改善这些条件,所有社会经济群体的患者都将得到更好的帮助、治疗和教育,从而受益于平等的医疗保健可及性和质量。

相似文献

7
Reasons for non-compliance with quality standards at primary healthcare clinics in Ekurhuleni, South Africa.
Afr J Prim Health Care Fam Med. 2020 May 27;12(1):e1-e9. doi: 10.4102/phcfm.v12i1.2179.
10
Implementing the Ideal Clinic Program at Selected Primary Healthcare Facilities in South Africa.
Int J Environ Res Public Health. 2021 Jul 22;18(15):7762. doi: 10.3390/ijerph18157762.

本文引用的文献

1
Targeting healthspan to optimally combat non-communicable disease in an aging world.
Sports Med Health Sci. 2019 Sep 10;1(1):59-60. doi: 10.1016/j.smhs.2019.08.005. eCollection 2019 Dec.
2
Health care providers' perspectives of diet-related non-communicable disease in South Africa.
BMC Public Health. 2020 Feb 21;20(1):262. doi: 10.1186/s12889-020-8364-y.
4
Challenges of quality improvement in the healthcare of South Africa post-apartheid: A critical review.
Curationis. 2019 May 29;42(1):e1-e9. doi: 10.4102/curationis.v42i1.1901.
7
Integrating mental health with other non-communicable diseases.
BMJ. 2019 Jan 28;364:l295. doi: 10.1136/bmj.l295.
8
Effect of patient education on medication adherence of patients with rheumatoid arthritis: a randomized controlled trial.
Patient Prefer Adherence. 2019 Jan 11;13:119-129. doi: 10.2147/PPA.S192008. eCollection 2019.
9
Medical consultation, time and duration.
Medwave. 2018 Sep 26;18(5):e7266. doi: 10.5867/medwave.2018.05.7264.
10
The evolution of non-communicable diseases policies in post-apartheid South Africa.
BMC Public Health. 2018 Aug 15;18(Suppl 1):956. doi: 10.1186/s12889-018-5832-8.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验