Jackson Mary, Gardiner Paula, Leeman Jennifer, Roth Isabel
University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Center for Mindfulness and Compassion, Cambridge Health Alliance, Cambridge, MA, USA.
Glob Adv Integr Med Health. 2024 Nov 29;13:27536130241304772. doi: 10.1177/27536130241304772. eCollection 2024 Jan-Dec.
The well-being of healthcare teams is an important consideration when seeking to improve patient experience and quality of care. Prior studies have found that changes to working conditions are most effective in improving clinician well-being. Integrative Group Medical Visits (IGMVs) modify working conditions in ways that have potential to improve clinician experience.
The objective of this study was to understand healthcare teams' experiences with IGMVs.
In this qualitative study, interviews were conducted via Zoom and telephone with 21 clinicians, administrators, and staff from safety-net healthcare settings throughout the United States (U.S.) who have implemented IGMVs for patients with chronic pain. Interviews included questions about clinician experience, well-being, and satisfaction with the IGMV model. Interviews were recorded, transcribed, and coded using thematic content analysis by a team of trained qualitative researchers.
The authors identified five themes describing how IGMV positively affected clinician well-being: organizational supports, human-centered engagement, collaboration with an interprofessional team, provision of guideline-concordant care, and enhanced meaning and purpose for the clinicians.
The current study was the first to use interviews from healthcare teams who have implemented IGMV to assess their experience. The themes identified warrant further investigation into IGMVs as a strategy to promote clinician well-being and mitigate aspects of burnout.
在寻求改善患者体验和护理质量时，医疗团队的福祉是一个重要的考量因素。先前的研究发现，工作条件的改变在改善临床医生福祉方面最为有效。综合团体医疗就诊（IGMVs）以有可能改善临床医生体验的方式改变工作条件。
本研究的目的是了解医疗团队对IGMVs的体验。
在这项定性研究中，通过Zoom和电话对来自美国各地安全网医疗环境的21名临床医生、管理人员和工作人员进行了访谈，这些人员为慢性疼痛患者实施了IGMVs。访谈包括有关临床医生体验、福祉以及对IGMV模式满意度的问题。访谈进行了录音、转录，并由一组经过培训的定性研究人员使用主题内容分析法进行编码。
作者确定了五个主题，描述了IGMV如何对临床医生的福祉产生积极影响：组织支持、以人为本的参与、与跨专业团队的协作、提供符合指南的护理以及增强临床医生的意义和目的。
本研究首次使用对实施IGMV的医疗团队的访谈来评估他们的体验。所确定的主题值得进一步研究IGMVs，将其作为促进临床医生福祉和缓解职业倦怠方面的一种策略。
