满足日本核心城市一家新开家庭医学诊所的医疗需求：混合方法研究。
Addressing healthcare needs in an inaugural family medicine clinic in a core city in Japan: Mixed-methods research.
作者信息
Mizumoto Junki, Nishimura Maki, Ishikawa Naoko, Hisatake Kana, Satake Eri, Yamamoto Shizuka, Tsuno Shota
机构信息
Department of Family Practice Ehime Seikyo Hospital Ehime Japan.
Center for General Medicine Education, School of Medicine Keio University Tokyo Japan.
出版信息
J Gen Fam Med. 2025 Mar 21;26(3):269-272. doi: 10.1002/jgf2.777. eCollection 2025 May.
BACKGROUND
There exists little research elucidating the benefits of family medicine clinics for community with ample specialist healthcare resources.
METHODS
We conducted mixed-methods research. Within the inaugural family medicine clinic, the following data was collected during the initial 2 months: (i) newly identified healthcare needs among scheduled outpatients; (ii) management of outpatients with complex health and social needs; and (iii) provision of home-visit care. Newly detected health care needs were summarized qualitatively using a summative content analysis. Patients' complexity was quantitatively scored using the Japanese version of the Patient Centred Assessment Method.
RESULTS
Physicians identified 156 new needs and 13 complex cases. The complexity of patients receiving home-visit care was high.
CONCLUSIONS
This study demonstrates that an inaugural family medicine clinic adeptly addressed a diverse spectrum of patients' healthcare needs.
背景
在拥有丰富专科医疗资源的社区中，关于家庭医学诊所益处的研究较少。
方法
我们开展了混合方法研究。在首个家庭医学诊所中，在最初的2个月内收集了以下数据：（i）预约门诊患者中新发现的医疗需求；（ii）对有复杂健康和社会需求的门诊患者的管理；以及（iii）提供家访护理。使用总结性内容分析法对新发现的医疗需求进行定性总结。使用日语版以患者为中心的评估方法对患者的复杂性进行定量评分。
结果
医生识别出156项新需求和13例复杂病例。接受家访护理的患者复杂性较高。
结论
本研究表明，首个家庭医学诊所妥善地满足了患者多样化的医疗需求。
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