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长期就诊于一家家庭医疗教学单位。对患者观点的定性研究。

Long-term attendance at a family practice teaching unit. Qualitative study of patients' views.

作者信息

Brown J B, Dickie I, Brown L, Biehn J

机构信息

Thames Valley Family Practice Research Unit, London, ON.

出版信息

Can Fam Physician. 1997 May;43:901-6.

Abstract

OBJECTIVE

To identify the factors that contribute to patients' long-term attendance at a family practice teaching unit.

DESIGN

Qualitative method of focus groups.

SETTING

A community-based family practice teaching unit in southwestern Ontario.

PARTICIPANTS

Patients who had been coming to St Joseph's Family Medical Centre for more than 15 years were purposefully selected to participate.

METHOD

Five focus groups composed of patients who had been affiliated with one of the three practices at the Centre for more than 15 years explored factors contributing to long-term attendance.

MAIN FINDINGS

Four key themes were identified as the primary factors contributing to long-term attendance: the relationship context, the team concept, professional responsibility and attitudes, and comprehensive and convenient care.

CONCLUSION

The resource-rich era of medical care, during which participants formulated their views and opinions about the factors contributing to their long-term attendance at a family practice teaching unit, has come to a close. The findings of this study provide important information that could help maintain one of the basic tenets of family medicine-continuity of care.

摘要

目的

确定促使患者长期就诊于一家家庭医疗教学单位的因素。

设计

焦点小组定性研究方法。

地点

安大略省西南部一个以社区为基础的家庭医疗教学单位。

参与者

特意挑选了那些在圣约瑟夫家庭医疗中心就诊超过15年的患者参与研究。

方法

五个焦点小组,由在该中心三个诊所之一就诊超过15年的患者组成,探讨促使长期就诊的因素。

主要发现

确定了四个关键主题为促使长期就诊的主要因素:关系背景、团队理念、职业责任与态度以及全面便捷的护理。

结论

参与者就促使其长期就诊于家庭医疗教学单位的因素形成观点和看法的医疗资源丰富的时代已经结束。本研究结果提供了重要信息,有助于维持家庭医学的基本原则之一——医疗连续性。

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Continuity of care.连续护理。
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