Eastern Health, Allied Health Clinical Research Office, Box Hill, Victoria, Australia.
School of Allied Health, Health Services and Sport, La Trobe University, Bundoora, Victoria, Australia.
J Eval Clin Pract. 2023 Sep;29(6):976-983. doi: 10.1111/jep.13821. Epub 2023 Mar 1.
Wait lists are common in the provision of publicly funded services in outpatient and community settings.
We aimed to explore the experiences of consumers on wait lists across a broad range of services and to understand the impact of delays in access to services on people's lives.
Consumers with experience of being on a wait list for an outpatient or community-based health service participated in one of three focus groups. Data were transcribed and analysed inductively using a thematic approach.
Waiting for healthcare has detrimental impacts on health and well-being. Consumers on wait lists want their health needs addressed, but they also want the ability to plan, clear communication and to feel like someone cares. Instead, they feel forgotten by impersonal and inflexible systems with very little communication, with emergency departments and general practitioners often left to fill in the gaps.
More consumer-centred approaches are needed for access systems for outpatient and community services, featuring honesty about what services can realistically be provided, early access to initial assessment and information and clear lines of communication.
候诊名单在门诊和社区环境中提供公共资助服务时很常见。
我们旨在探讨广泛服务范围内的消费者在候诊名单上的体验,并了解服务获取延迟对人们生活的影响。
有门诊或社区卫生服务候诊经验的消费者参加了三个焦点小组之一。使用主题方法对数据进行转录和归纳分析。
等待医疗保健对健康和幸福感有不利影响。候诊名单上的消费者希望满足他们的健康需求,但他们也希望能够进行计划、获得清晰的沟通,并感到有人关心。相反,他们感到被缺乏人情味和缺乏灵活性的系统所遗忘,几乎没有沟通,急诊部门和全科医生经常不得不填补空白。
需要为门诊和社区服务的准入系统采用更以消费者为中心的方法,真实说明实际可以提供哪些服务,尽早获得初步评估和信息,并保持清晰的沟通渠道。