Clinicians' Perspectives of Patient Engagement in Post-Acute Care: A Social Ecological Approach.
Clinicians' Perspectives of Patient Engagement in Post-Acute Care: A Social Ecological Approach.
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临床医生对患者参与急性后护理的看法：社会生态学方法。
DOI：
10.1080/02703181.2017.1407859
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发表时间：
2018
影响因子：
0.9
通讯作者：
Leland,NatalieE
中科院分区：
文献类型：
--
作者：
Wong,Carin;Leland,NatalieE
目的：为了确定康复提供者的观点的障碍和促进者的髋关节骨折患者在熟练的护理设施（SNFs）的社会生态model.Methods：我们进行了13个焦点小组在SNFs在整个洛杉矶县的康复工作人员（n = 99）组成。重点小组进行了录音和转录。与患者参与相关的主题的二次分析被确定和组织在社会生态model.Results：临床医生确定的障碍和促进者的患者参与的所有层次的社会生态模型：公共政策（例如，保险），组织（例如，设施文化），人际关系（例如，培养自我反思的临床医生），和自我反省（例如，结论：检查患者参与的障碍和促进因素，突出了需要持续和改进的领域。因此，这些发现将为未来加强患者参与度的努力提供信息，以优化患者的医疗保健决策。
Aims: To identify rehabilitation providers' perspectives on barriers and facilitators of patient engagement in hip fracture patients in skilled nursing facilities (SNFs) within the social ecological model.Methods: We conducted 13 focus groups in SNFs throughout Los Angeles County comprised of rehabilitation staff (n = 99). Focus groups were audio-recorded and transcribed. A secondary analysis of themes related to patient engagement were identified and organized within the social ecological model.Results: Clinicians identified barriers and facilitators of patient engagement across all levels of the social ecological model: public policy (e.g., insurance), organizational (e.g., facility culture), interpersonal (e.g., clinicians fostering self-reflection), and intrapersonal (e.g., patients' anxiety).Conclusions: Examining barriers and facilitators to patient engagement has highlighted areas which need to be sustained and improved. Thus, these findings will inform future efforts to enhance patient engagement in order can to optimize patient healthcare decisions.