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澳大利亚卫生专业人员优化体力活动转介计划患者的护理协调策略。

Optimising care coordination strategies for physical activity referral scheme patients by Australian health professionals.

机构信息

College of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia.

College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD, Australia.

出版信息

PLoS One. 2022 Jul 14;17(7):e0270408. doi: 10.1371/journal.pone.0270408. eCollection 2022.

DOI:10.1371/journal.pone.0270408
PMID:35834548
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9282539/
Abstract

Physical activity (PA) has been identified as an essential tool for the prevention and management of multi-morbidity in patients. Coordination of patients' care through interventions like physical activity referral schemes (PARS) could foster the utilization of PA. This study explored the views of General Practitioners (GPs) and Exercise Physiologists (EPs) as key stakeholders, for optimizing patient care and efficiency of PARS. Sequential explanatory mixed methods design was used to explore the perceptions of these health professionals on PA and coordination strategies for PARS patient care. Data analyses included descriptive and inferential statistics for questionnaires and theoretical framework analysis for the semi-structured interviews. Participants demonstrated a good knowledge of PA and valued PARS. However, the findings unravelled external factors, inter-organisational mechanisms, and relational coordination obstacles that hinder efficient coordination of PARS patient care and delay/limit beneficial health outcomes for patients. Incentivising the PARS initiative and empowering patients to seek referral into the programme, are strategies that could boost PARS efficiency. Improving inter-professional relationships between GPs and EPs could lead to enhanced PARS functionality and efficient coordination of care for patients with chronic diseases.

摘要

身体活动(PA)已被确定为预防和管理多病患者的重要工具。通过身体活动转介计划(PARS)等干预措施协调患者的护理,可以促进 PA 的利用。本研究探讨了全科医生(GP)和运动生理学家(EP)作为主要利益相关者的观点,以优化患者护理和 PARS 的效率。采用顺序解释性混合方法设计,探讨这些卫生专业人员对 PA 和 PARS 患者护理协调策略的看法。数据分析包括问卷的描述性和推断性统计以及半结构化访谈的理论框架分析。参与者对 PA 有很好的了解,并重视 PARS。然而,研究结果揭示了一些外部因素、组织间机制和关系协调障碍,这些因素阻碍了 PARS 患者护理的有效协调,并延迟/限制了患者的有益健康结果。激励 PARS 计划并授权患者寻求转介到该计划中,是可以提高 PARS 效率的策略。改善 GP 和 EP 之间的专业关系,可以提高 PARS 的功能,为慢性病患者的护理提供更有效的协调。

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Int J Environ Res Public Health. 2021 Dec 25;19(1):203. doi: 10.3390/ijerph19010203.
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Australian patients' perception of the efficacy of the physical activity referral scheme (PARS).澳大利亚患者对体力活动转介计划(PARS)疗效的看法。
Patient Educ Couns. 2021 Nov;104(11):2803-2813. doi: 10.1016/j.pec.2021.04.001. Epub 2021 Apr 20.
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Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.204 个国家和地区 1990-2019 年 369 种疾病和伤害导致的全球负担:2019 年全球疾病负担研究的系统分析。
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"You've Got to Pick Your Battles": A Mixed-Methods Investigation of Physical Activity Counselling and Referral within General Practice.“你得挑挑仗打”:一般实践中体力活动咨询和转介的混合方法研究。
Int J Environ Res Public Health. 2020 Oct 12;17(20):7428. doi: 10.3390/ijerph17207428.
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