University of South Australia, Adelaide, SA, Australia.
Rosemary Bryant (AO) Research Centre, University of South Australia, Adelaide, SA, Australia.
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241285349. doi: 10.1177/21501319241285349.
INTRODUCTION/OBJECTIVE: The objective of the study was to develop an understanding of the perceptions of people with Parkinson's disease and clinical academics on the implementation of a regional interdisciplinary model of care.
A qualitative descriptive study was undertaken. A PD interdisciplinary clinic was conducted in an Australian regional location. As a novel variation, in this clinic, 4 clinical academics consulted simultaneously offering a long, 3-h appointment. Following the clinic, we conducted 2 focus groups with all clinical academics and 6 semi-structured interviews with people with PD and carers. Data were analyzed using Elo & Kyngäs' inductive content analysis approach.
An overarching main category namely, "interdisciplinary care proved valuable to regional people with PD and clinical academics," and 3 generic-categories including "identifying interdisciplinary care as a viable option in regional locations," "current care provision is disempowering and burdensome," and "regional residing people with PD and their carers seek locally accessible healthcare with PD skilled clinicians" were identified.
Our findings suggest the implementation of interdisciplinary care to regional healthcare systems is valued by clinical academics and people with PD and carers. Further research is required to establish how interdisciplinary care can be implemented in regional Australia and its effects on practice changes, patient outcomes, and quality of life.
介绍/目的：本研究旨在了解帕金森病患者和临床学者对实施区域跨学科护理模式的看法。
采用定性描述性研究方法。在澳大利亚的一个地区设立了一个帕金森病跨学科诊所。作为一种新颖的变化，在这个诊所里，4 名临床学者同时咨询，提供长达 3 小时的预约。在诊所结束后，我们对所有临床学者进行了 2 个焦点小组讨论，并对 6 名帕金森病患者及其照顾者进行了 6 次半结构化访谈。使用 Elo 和 Kyngäs 的归纳内容分析方法对数据进行分析。
出现了一个总体的主要类别，即“跨学科护理对地区性帕金森病患者和临床学者来说是有价值的”，以及 3 个通用类别，包括“将跨学科护理视为地区性护理的可行选择”、“目前的护理提供方式是剥夺权力和负担沉重的”和“地区性居住的帕金森病患者及其照顾者寻求由帕金森病专业临床医生提供的当地可及的医疗保健”。
我们的研究结果表明，跨学科护理在地区性医疗保健系统中得到了临床学者和帕金森病患者及照顾者的重视。需要进一步研究如何在澳大利亚地区实施跨学科护理，以及其对实践改变、患者结局和生活质量的影响。
