三甲医院缓和医疗会诊服务实践存在的问题分析
Obstacles in the Practice of Palliative Care Consultation Services in Grade A Tertiary Hospitals
查看参考文献22篇
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文摘
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目的探究三甲医院院内缓和医疗会诊服务在实践过程中遇到的障碍,针对这些困难提出意见和建议,为院内缓和医疗会诊服务的进一步开展提供参考。方法对北京协和医院17名请求过缓和医疗会诊服务的医护人员进行半结构式访谈,对相关资料进行整理、分析。结果院内缓和医疗会诊服务开展中的障碍因素包括患者及家属对缓和医疗了解不够深入、医护人员对缓和医疗的认知不够深刻、临床诊疗团队对会诊意见落实不够全面、缓和医疗会诊团队提供服务的精力有限、缓和医疗的开展难以创造所谓的经济效益5个方面。同时,针对院内缓和医疗会诊服务开展过程中的障碍和不足,提出工作改进的建议包括增加患者及其家属对缓和医疗的接受程度、提高医护人员对缓和医疗知识水平、建立会诊团队与医护人员的新型合作模式、增强医院对缓和医疗发展的制度保障和建立健全缓和医疗相关法律政策等。结论三甲医院院内缓和医疗会诊服务在实践过程中虽然遇到很多困难和障碍,但是医护人员对缓和医疗的需求和期望仍在提高。 |
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其他语种文摘
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Objective To explore the obstacles in palliative care consultation services and put forward the suggestions for improving the services in grade A tertiary hospitals. Methods A semi-structured interview was conducted with 17 medical workers who had requested palliative care consultation services in Peking Union Medical College Hospital. Results The palliative care consultation services were hindered by five obstacle factors including insufficient knowledge of patients and their families about palliative care, unsound understanding of medical workers about palliative care, poor implementation of consultation opinions, limited labor of palliative care team, and poor economic benefits from palliative care. In view of such obstacles, the following suggestions were put forward, which included increasing the acceptance of palliative care by patients and their families, enriching the knowledge of medical staff on palliative care, establishing a new cooperation model between consultation team and medical staff, strengthening the institutional guarantee for the development of palliative care, and establishing and perfecting the laws and policies related to palliative care. Conclusion Although there are many difficulties in the in-hospital palliative care consultation services in grade A tertiary hospitals, the demand and expectation of medical staff for palliative care are still increasing. |
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来源
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中国医学科学院学报
,2022,44(5):750-756 【核心库】
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DOI
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10.3881/j.issn.1000-503X.15134
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关键词
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缓和医疗会诊
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医护人员
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问题分析
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地址
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中国医学科学院北京协和医学院北京协和医院老年医学科, 北京, 100730
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中国医学科学院北京协和医学院护理学院, 北京, 100144
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中国医学科学院北京协和医学院北京协和医院国际医疗部, 北京, 100730
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中国医学科学院北京协和医学院北京协和医院急诊医学科, 北京, 100730
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中国医学科学院北京协和医学院北京协和医院病案室, 北京, 100730
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语种
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中文 |
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文献类型
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研究性论文 |
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ISSN
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1000-503X |
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学科
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临床医学 |
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基金
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北京协和医学院教学改革项目
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文献收藏号
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CSCD:7330333
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