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肿瘤医疗人员在国际医疗服务质量方面的经历:一项现象学研究。

Experiences of oncology healthcare personnel in international medical service quality: a phenomenological study.

作者信息

Lai Chi-Chun, Chen Shih-Ying, Chen Hsien-Wei, Li Hsueh-Yu, Hsu Hsiang-Hao, Chen Li-Chin, Tang Woung-Ru

机构信息

Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung, Taiwan.

International Medical Center, Chang Gung Memorial Hospital, Linkou, Taiwan.

出版信息

BMC Nurs. 2023 Mar 31;22(1):92. doi: 10.1186/s12912-023-01249-1.

Abstract

BACKGROUND

With the globalization of medical services on the rise, Asia has ascended to a destination of choice for its high-quality medical services at very reasonable rates. Monitoring the quality of the international medical industry is vital to maintain service demand. The experiences of healthcare personnel (HCP) involved in international medical services (IMS) regarding the provision of services to international cancer patients have not yet been discussed. This study aimed to explore oncology HCP experiences of IMS quality in caring for international cancer patients in Taiwan.

METHODS

Descriptive phenomenological method and were analyzed through Colaizzi's seven-step approach. In this study, 19 respondents were collected data by using in-depth semi-structured interviews. An average interview lasted approximately 45 min.

RESULTS

Four major themes were identified from the interviews: patient selection, psycho-oncology care, predicaments, and promoting suggestions. Additionally, thirteen subthemes emerged, including necessary selection of patients, reasons for unwillingness to enroll international patients, helpless patients, emotional distress, care with warmth, insufficient manpower, an unfair reward mechanism, poor hardware equipment, the predicaments of oncology care, various publicity strategies, one-on-one service model, design of a designated area, and reasonable benefit distribution.

CONCLUSIONS

This study explored oncology HCP experiences of IMS quality in caring for international cancer patients, with implications for hospitals in developing high-quality IMS. Due to the fact that IMS is a global trend, HCPs, administrators, and policy-makers are advised to improve the quality of IMS in the oncology department, which has been the least studied field in IMS quality.

摘要

背景

随着医疗服务全球化的兴起,亚洲已凭借其价格合理的高质量医疗服务,成为备受青睐的医疗目的地。监测国际医疗行业的质量对于维持服务需求至关重要。然而,参与国际医疗服务(IMS)的医护人员(HCP)在为国际癌症患者提供服务方面的经验尚未得到探讨。本研究旨在探究台湾地区医护人员在照顾国际癌症患者时对国际医疗服务质量的体验。

方法

采用描述性现象学方法,并通过柯莱齐的七步法进行分析。在本研究中,通过深度半结构化访谈收集了19名受访者的数据。平均每次访谈持续约45分钟。

结果

从访谈中确定了四个主要主题:患者选择、心理肿瘤护理、困境和促进建议。此外,还出现了13个子主题,包括患者的必要选择、不愿意接纳国际患者的原因、无助的患者、情绪困扰、温暖关怀、人力不足、不公平的奖励机制、硬件设备差、肿瘤护理的困境、各种宣传策略、一对一服务模式、指定区域的设计以及合理的利益分配。

结论

本研究探讨了医护人员在照顾国际癌症患者时对国际医疗服务质量的体验,对医院发展高质量的国际医疗服务具有启示意义。鉴于国际医疗服务是一种全球趋势,建议医护人员、管理人员和政策制定者提高肿瘤科室国际医疗服务的质量,该领域在国际医疗服务质量方面一直是研究最少的领域。

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