Suslow Anastasia, Schlößler Kathrin, Chikhradze Nino, Lauer Romy, Christian Vollmar Horst, Otte Ina Carola
Abteilung für Allgemeinmedizin (AM RUB), Ruhr-Universität Bochum, Medizinische Fakultät, Bochum, Germany.
Gesundheitswesen. 2024 Nov;86(11):705-711. doi: 10.1055/a-2319-3045. Epub 2024 Jul 24.
With the beginning of the Covid-19 vaccinations in primary care, a new and work-intensive responsibility arose for medical assistants (MA). In addition to their existing duties and the challenges posed by Covid-19, they had to organize, plan, and in some cases carry out the vaccinations and follow up on the documentation.
A total of 21 semi-structured interviews were conducted with MA between April and September 2021. Particularly considering the timing of the interview, questions were asked about the daily work routine and the associated vaccine organization. The interviews were then analyzed using MAXQDA software based on Kuckartz's qualitative content analysis.
The MA criticized a lack of organization and transparency in the planning and implementation of vaccinations. Each vaccination had to be pre- and post-processed, resulting in an immense bureaucratic effort. Additional work and stress were the results. Also, MA had to deal with difficult patients.
The experience of MA must be taken into consideration in the future to create guidance for dealing with an increased demand for vaccinations. The guidelines for the future must ensure that MA are relieved and supported by a meaningful organization during such events.
随着基层医疗中新冠疫苗接种工作的开展，医疗助理（MA）承担了一项新的、工作量巨大的职责。除了他们现有的职责以及新冠疫情带来的挑战外，他们还必须组织、规划，在某些情况下还要实施疫苗接种并跟进相关文件记录。
2021年4月至9月期间，共对医疗助理进行了21次半结构化访谈。特别考虑到访谈时间，询问了他们的日常工作流程以及相关的疫苗接种组织情况。然后使用基于库卡茨定性内容分析的MAXQDA软件对访谈进行分析。
医疗助理批评疫苗接种计划和实施过程中缺乏组织性和透明度。每次疫苗接种都必须进行前后处理，导致官僚作风严重。结果是增加了额外的工作和压力。此外，医疗助理还必须应对难缠的患者。
未来必须考虑医疗助理的经验，以便为应对疫苗接种需求增加制定指导方针。未来的指导方针必须确保在这类事件中，医疗助理能够通过合理的组织安排得到减负和支持。
