"We need to bring them out from the shadows:" A qualitative study of safety net physician leaders' perspectives on caregivers.
"We need to bring them out from the shadows:" A qualitative study of safety net physician leaders' perspectives on caregivers.
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DOI：
10.1016/j.pec.2021.10.019
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发表时间：
2022-06
影响因子：
3.5
通讯作者：
Lyles, Courtney R.
中科院分区：
文献类型：
--
作者：
Semere, Wagahta;Cemballi, Anupama G.;Schillinger, Dean;Casillas, Alejandra;Lemberg, Miya;Lyles, Courtney R.
探讨医生领导者对在临床实践中以及在安全网卫生系统中与护理人员接触的过程和优先事项的看法。我们对加州三个安全网卫生系统的初级保健医生进行了深入的半结构化访谈。访谈探讨了医生的经验，管理医疗和社会复杂的病人与照顾者。使用主题分析，两个定性研究人员独立地分析了访谈记录，并通过迭代输入与更广泛的研究团队建立共识，以得出主要主题。15名医生完成了访谈。9名参与者是妇女，8名是白色，10名报告西班牙语熟练程度。参与者访谈产生了六个主要主题：挑战揭露照顾者的身份，认识到照顾者的角色变化，适应访问沟通策略，包括照顾者，从事照顾病人的照顾，照顾照顾者。鉴于卫生系统对护理人员参与病人护理的认识有限，让护理人员参与是一项挑战。调整访问通信，包括照顾者需要弥合语言和识字障碍。建立机制，使患者的照顾者的一致识别，促进与照顾者的持续沟通，并扩大对他们的支持，可以改善弱势患者及其家属的结果。
To explore physician leaders’ perspectives on processes and priorities for engaging with caregivers in their clinical practices as well as within their safety net health systems. We conducted in-depth semi-structured interviews with primary care physicians in care management leadership at three California safety net health systems. Interviews explored physicians’ experiences managing medically and socially complex patients with caregivers. Using thematic analysis, two qualitative researchers independently analyzed interview transcripts and established consensus with the broader research team through iterative input to derive major themes. Fifteen physicians completed interviews. Nine participants were women, 8 were White and 10 reported Spanish language proficiency. Participant interviews generated six major themes: challenges uncovering caregiver identities, recognizing variation in caregivers’ roles, adapting visit communication strategies to include caregivers, engaging caregivers in patient care, and caring for the caregiver. Engaging caregivers is challenging given the limited recognition of caregiver involvement in patient care by health systems. Adapting visit communication to include caregivers requires bridging language and literacy barriers. Developing mechanisms to enable the consistent identification of patients’ caregivers, facilitate ongoing communication with caregivers, and extend support for them could improve outcomes for vulnerable patients and their families.
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影响因子：
2.1
作者：
Beisecker, Analee E.;Moore, William P.
通讯作者：
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影响因子：
1.3
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通讯作者：
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158.5
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通讯作者：
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影响因子：
2.6
作者：
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通讯作者：
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