Department of Health, Medicine and Care (HMV), Faculty of Medicine and Health Sciences, Linköping University, Linköping, Norrköping, SE-601 74, Sweden.
Department of Emergency, Vrinnevi Hospital, Norrköping, Sweden.
BMC Emerg Med. 2023 Jul 27;23(1):80. doi: 10.1186/s12873-023-00847-1.
Provision of mobile care at the home of patients appears to become necessary as the population becomes increasingly older. But there are challenges in moving emergency care from hospitals to the home of patients. The aim of the study was therefore to describe the experiences of the mobile care in Sweden.
Semi structured interviews were conducted with 12 persons with experience of mobile care in Sweden, such as nurses, physicians, civil servants and politicians. Qualitative latent content analysis was used as an analysis method.
The results show that cooperation is of utmost importance to achieve functioning mobile care. Cooperation both on an inter-organizational level and on a close team-work is required for all of the involved parties in mobile care to take on a joint responsibility for the patient. As mobile care is primarily provided to elderly multimorbid patients, a comprehensive view on patient care is required in which the patient and their relatives experience security.
Mobile care is seen as a moving care that comes to the seeking person and not the other way around. The resources are distributed where they make the most use, that is, closest to the individual. Mobile care is seen as a complement to the traditional hospital care. This means a different way of working that requires close collaboration between different categories of personnel and organizations, where there should not be any discussions about boundaries, rather, the discussion should include patient's needs and situation instead.
随着人口老龄化的加剧，为患者提供上门医疗护理似乎变得越来越必要。但将急救护理从医院转移到患者家中存在挑战。因此，本研究旨在描述瑞典移动医疗护理的经验。
对瑞典移动医疗护理经验丰富的 12 人（如护士、医生、公务员和政治家）进行了半结构化访谈。采用定性潜在内容分析法作为分析方法。
结果表明，合作对于实现有效的移动医疗护理至关重要。移动医疗护理涉及的所有各方都需要在组织间和紧密的团队合作层面上进行合作，以共同承担对患者的责任。由于移动医疗护理主要针对老年多病患者，因此需要对患者护理进行全面的了解，让患者及其家属感到安全。
移动医疗护理被视为一种主动上门的医疗护理，而不是被动等待患者上门。资源将分配到最需要的地方，也就是离个人最近的地方。移动医疗护理被视为传统医院护理的补充。这意味着一种不同的工作方式，需要不同类别的人员和组织之间密切合作，不应讨论边界问题，而应讨论患者的需求和情况。
