在新南威尔士州的普通医疗实践中使用结构化对话指南启动预先护理计划。
Initiating advance care planning in New South Wales general practices using a structured conversation guide.
作者信息
Deck Emily, Trevena Lyndal, Rhee Joel, Nagarajan Srivalli, Clayton Josephine M
机构信息
MBBS, DCH, FRACGP, General Practitioner, Smith Street Medical Centre, Charlestown, NSW; previous Associate Lecturer in General Practice, Sydney Medical School, University of Sydney, Sydney, NSW.
MBBS (Hons), MPhilPH, PhD, University of Sydney, NSW.
出版信息
Aust J Gen Pract. 2023 Mar;52(3):135-140. doi: 10.31128/AJGP-02-22-6320.
METHOD
Three focus groups were held as part of an existing initiative, 'Ask, Share, Know: Rapid Evidence for General Practice Decisions'. Data were analysed using an inductive thematic approach; themes identified informed adaptation of the conversation guide.
RESULTS
Five key themes were identified: 1. general practice provides the optimal context for ACP discussions; 2. ACP priorities differ between GPs; 3. healthcare professionals' roles in ACP vary; 4. confusion exists regarding ACP practice; and 5. the adapted conversation guide provides a useful structure for ACP.
DISCUSSION
ACP practice varies between GPs. GPs preferred the adapted conversation guide, but further evaluation is required prior to implementation into practice.
方法
作为现有倡议“询问、分享、了解：全科医疗决策的快速证据”的一部分，举办了三场焦点小组讨论。采用归纳主题分析法对数据进行分析；所确定的主题为对话指南的调整提供了依据。
结果
确定了五个关键主题：1. 全科医疗为预立医疗照护讨论提供了最佳背景；2. 不同全科医生的预立医疗照护优先事项有所不同；3. 医疗保健专业人员在预立医疗照护中的角色各不相同；4. 预立医疗照护实践存在困惑；5. 调整后的对话指南为预立医疗照护提供了有用的框架。
讨论
不同全科医生的预立医疗照护实践存在差异。全科医生更喜欢调整后的对话指南，但在将其应用于实践之前还需要进一步评估。
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