Axtens Michael J, Wood-Bradley Ryan, Kloot Kate, Dwyer Karen M
School of Medicine, Faculty of Health, Deakin University, Waurn Ponds, Geelong, Victoria, Australia.
School of Medicine, Faculty of Health, Deakin University, Warrnambool, Victoria, Australia.
Intern Med J. 2025 Jun;55(6):1024-1027. doi: 10.1111/imj.70098. Epub 2025 May 28.
Shared medical appointments (SMAs) are a holistic model of care utilised internationally; however, experience in Australia is nascent. This study evaluated the experience of SMAs in an ambulatory non-general practitioner specialist context in Australia. The main qualitative themes centred around Sharing (vicarious learning, safe sharing environment) and Service Provision (model/facilitation team satisfaction). SMAs present a model of care that addresses the quintuple aims of healthcare. Uptake requires clinician and patient education, a framework for implementation and economic modelling and incentives.
共享医疗预约（SMA）是一种在国际上广泛应用的整体护理模式；然而，澳大利亚在这方面的经验尚处于起步阶段。本研究评估了澳大利亚非全科医生专科门诊环境下共享医疗预约的经验。主要的定性主题围绕共享（替代性学习、安全的共享环境）和服务提供（模式/促进团队满意度）展开。共享医疗预约提供了一种实现医疗保健五大目标的护理模式。推广需要对临床医生和患者进行教育，建立实施框架、进行经济建模并提供激励措施。
