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“如此简单”——从边缘汲取的经验教训:加拿大安大略省汉密尔顿移动医疗诊所的患者体验定性研究。

'It's so simple' Lessons from the margins: a qualitative study of patient experiences of a mobile health clinic in Hamilton, Ontario, Canada.

机构信息

McMaster Midwifery Research Centre, McMaster University, Hamilton, Ontario, Canada.

School of Kinesiology & Health Science, York University, Toronto, Ontario, Canada

出版信息

BMJ Open. 2023 Mar 23;13(3):e066674. doi: 10.1136/bmjopen-2022-066674.

Abstract

OBJECTIVE

Our study explored the experiences of clients of HAMSMaRT (Hamilton Social Medicine Response Team), a mobile health service, in the context of their experiences of the overall healthcare system.

DESIGN

We conducted a qualitative study with reflexive thematic analysis.

SETTING

HAMSMaRT is a mobile health service in Hamilton, Ontario Canada providing primary care, internal and addiction medicine and infectious diseases services.

PARTICIPANTS

Eligible participants were clients of HAMSMaRT who could understand English to do the interview and at least 16 years of age. Fourteen clients of HAMSMaRT were interviewed.

RESULTS

Our findings represented five themes. When the themes of people deserve care, from the margins to the centre, and improved and different access to the system are enacted, the model of care works, represented by the theme it works!. The way in which participants compared their experiences of HAMSMaRT to the mainstream healthcare system insinuated how simple it is, represented by the theme it's so simple.

CONCLUSIONS

Our findings offer guidance to the broader healthcare system for walking from the rhetoric to practice of person-centred care.

摘要

目的

本研究探讨了 HAMSMaRT(汉密尔顿社会医学反应团队)客户在整体医疗体系背景下的体验,HAMSMaRT 是加拿大安大略省汉密尔顿的一项移动医疗服务,提供初级保健、内科和成瘾医学以及传染病服务。

设计

我们进行了一项具有反思性主题分析的定性研究。

背景

HAMSMaRT 是加拿大安大略省汉密尔顿的一项移动医疗服务,提供初级保健、内科和成瘾医学以及传染病服务。

参与者

符合条件的参与者是 HAMSMaRT 的客户,他们能够理解英语进行访谈,并且至少 16 岁。对 14 名 HAMSMaRT 客户进行了访谈。

结果

我们的研究结果代表了五个主题。当人们应该得到关怀、从边缘到中心、改善和不同的系统接入的主题得到实施时,关怀模式就奏效了,这由主题“它奏效了!”代表。参与者将他们在 HAMSMaRT 的体验与主流医疗体系进行比较的方式暗示了它是多么简单,这由主题“它是如此简单”代表。

结论

我们的研究结果为更广泛的医疗体系提供了从理论到实践的以人为本的关怀的指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5efe/10040037/1152ad30942a/bmjopen-2022-066674f01.jpg

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