J Gerontol Nurs. 2022 Nov;48(11):7-13. doi: 10.3928/00989134-20221003-02. Epub 2022 Nov 1.
The purpose of the current in-depth qualitative study was to explore the experiences of older adults and family caregivers in primary care. Twenty patients and caregivers from six Comprehensive Primary Care Plus (CPC+) practices' Patient and Family Advisory Councils within a large academic health system participated in telephone interviews from December 2018 to May 2019. Participants were mostly women (60%), with an average age of 71 years and nine chronic conditions. Transcripts were coded using conventional content analysis. Two key themes emerged related to person-centered care (PCC): and . was defined by participants as: being proactive, centering on patient goals in treatment discussions, adherence, and self-triaging. Approximately all participants discussed the importance of the relationship and interactions with their provider as influencing their engagement. The identified themes offer recommendations for further improvement of primary PCC. [(11), 7-13.].
本深入定性研究的目的是探讨老年人和初级保健中家庭照顾者的体验。2018 年 12 月至 2019 年 5 月,来自大型学术医疗系统内 6 个综合初级保健加(CPC+)实践的患者和家庭咨询委员会的 20 名患者和照顾者通过电话访谈参与了此次研究。参与者主要为女性(60%),平均年龄为 71 岁,患有 9 种慢性疾病。采用常规内容分析法对转录本进行编码。与以患者为中心的护理(PCC)相关的两个关键主题出现:和。被参与者定义为:主动、以治疗讨论中的患者目标为中心、坚持以及自我分诊。几乎所有参与者都讨论了与提供者的关系和互动对其参与度的影响。所确定的主题为进一步改善初级保健的以患者为中心的护理提供了建议。[(11), 7-13.]。