Deck Emily, Trevena Lyndal, Rhee Joel, Nagarajan Srivalli, Clayton Josephine M
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.
Aust J Gen Pract. 2023 Mar;52(3):135-140. doi: 10.31128/AJGP-02-22-6320.
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.
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.
ACP practice varies between GPs. GPs preferred the adapted conversation guide, but further evaluation is required prior to implementation into practice.
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。
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。
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。
