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儿童医疗保健服务中通过团队问诊提供儿童医疗保健的机遇与困难——一项焦点小组研究

Opportunities and difficulties with providing child healthcare through team-based visits in child healthcare services - a focus group study.

作者信息

Nygren Ulrika Svea, Eriksson Leif, Sandberg Håkan, Tindberg Ylva, Nordgren Lena

机构信息

Department of Public Health and Caring Sciences, Uppsala University, BMC, Box 564, Uppsala, 751 22, Sweden.

Center for Clinical Research Sörmland, Uppsala University, Box 529, Eskilstuna, 631 07, Sweden.

出版信息

BMC Prim Care. 2025 Sep 8;26(1):280. doi: 10.1186/s12875-025-02981-0.

DOI:10.1186/s12875-025-02981-0
PMID:40922033
Abstract

BACKGROUND

The Swedish Child Healthcare services (CHS) includes team-based visits. Team-based visits are defined as physical meetings where different professionals, including the child and his or her parents, participate at the same time at the same place. This study aimed to explore healthcare professionals' experiences of these visits to better understand the opportunities and difficulties in meeting the unique needs of children and their families through team-based visits.

METHODS

An explorative qualitative design. Data were obtained through seven digital focus group interviews (FGDs) with 34 professionals within CHS, following the guidelines provided by Krueger and Casey.

RESULTS

All professional groups perceived great opportunities with team-based visits. Optimal team-based visits meant accessible and safe family support, based on children's and families' needs. Trustful relationships with someone in the team, can promote families' trust in the team, the assessment process, and healthcare organizations. For optimal team-based visits in CHS, professional competence, as well as organizational structures, are required. However, without enabling factors, here can be opposite effects on all those involved.

CONCLUSIONS

Optimal team-based visits in CHS delivered in the right way, at the right time, by the right individuals can be an efficient and comprehensive way to meet the unique needs of children and families.

摘要

背景

瑞典儿童医疗保健服务(CHS)包括团队式问诊。团队式问诊被定义为不同专业人员(包括儿童及其父母)在同一时间、同一地点参与的面对面会议。本研究旨在探讨医疗保健专业人员对这些问诊的体验,以便更好地理解通过团队式问诊满足儿童及其家庭独特需求的机遇和困难。

方法

采用探索性定性设计。按照克鲁格和凯西提供的指导方针,通过对CHS内34名专业人员进行七次数字焦点小组访谈(FGD)获取数据。

结果

所有专业群体都认为团队式问诊有很大机遇。最佳的团队式问诊意味着根据儿童及其家庭的需求提供便捷且安全的家庭支持。与团队中的某人建立信任关系,可以增进家庭对团队、评估过程和医疗保健组织的信任。对于CHS中的最佳团队式问诊,需要专业能力以及组织结构。然而,如果没有促成因素,可能会对所有相关人员产生相反的影响。

结论

以正确的方式、在正确的时间、由合适的人员进行的CHS最佳团队式问诊,可能是满足儿童和家庭独特需求的一种高效且全面的方式。

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本文引用的文献

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Patient roles in primary care interprofessional teams: a constructivist grounded theory of patient and health care provider perspectives.基层医疗跨专业团队中的患者角色:基于建构主义扎根理论的患者与医疗服务提供者视角研究
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