Receptionist rECognition and rEferral of PaTients with Stroke (RECEPTS) study - protocol of a mixed methods study.
Receptionist rECognition and rEferral of PaTients with Stroke (RECEPTS) study - protocol of a mixed methods study.
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DOI：
10.1186/1471-2296-15-91
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发表时间：
2014-05-12
影响因子：
2.9
通讯作者：
Mellor RM
中科院分区：
文献类型：
--
作者：
Sheppard JP;Singh S;Jones J;Bates E;Skelton J;Wiskin C;McManus RJ;Mellor RM
作为中风患者和目击者的第一个接触点，全科医生接待员可以在决定临床接触的紧迫性方面发挥重要作用。尽管这项任务相当复杂，但接待人员并没有经过临床培训。在急性脑卒中中，缩短溶栓时间至关重要，因为治疗必须在发病后4.5小时内开始，而且越早越好，才能达到最佳效果。研究表明，在卒中症状出现后首次联系全科医生的患者接受溶栓治疗的可能性较小，部分原因是在初级保健中出现了严重延误。因此，本研究旨在了解全科医生接待员的角色，特别感兴趣的是接待员识别可能患有中风的人并将此类患者作为医疗紧急情况处理的能力。脑卒中患者接待员识别和转诊研究将是一项基于初级保健的混合方法研究。将在西米德兰兹郡招募60名全科医生。每家诊所将接到10个未经通知的模拟病人电话，在这10个电话之后，将向每位接待员发放调查问卷。这些将检查接待员对在初级保健中出现中风症状的患者的行为，以及他们对中风症状的了解。一项嵌入的定性研究将使用访谈和焦点小组来调查全科医生对接待员在病人转诊中的作用的看法，以及这方面的培训是否有帮助。受体研究的结果将对初级保健提供者产生重要影响。该研究将建立目前的做法，在英国初级保健方面，一般做法接待员的介绍和适当的转介那些可能遭受中风的知识。它将强调培训需要以及如何最好地提供这种培训。
As the first point of contact for patients and witnesses of stroke, General Practice receptionists can be instrumental in deciding the urgency of clinical contact. Despite the considerable complexity of this task, reception staff are not clinically trained. Minimising the time taken to access thrombolysis is crucial in acute stroke as treatment must be initiated within 4.5 hours of the onset, and the earlier the better, to achieve the best outcomes. Research suggests that patients who first contact their General Practice following the onset of stroke symptoms are less likely to receive thrombolysis, in part due to significant delays within Primary Care. This study therefore aims to understand the role of General Practice receptionists, with particular interest in receptionist’s ability to recognise people who may be suffering from a stroke and to handle such patients as a medical emergency. The Receptionist rECognition and rEferral of PaTients with Stroke (RECEPTS) study will be a Primary Care based mixed methods study. 60 General Practices in the West Midlands will be recruited. Each practice will receive 10 unannounced simulated patient telephone calls, after the 10 calls questionnaires will be administered to each receptionist. These will examine the behaviour of receptionists towards patients presenting in Primary Care with stroke symptoms, and their knowledge of stroke symptoms. An embedded qualitative study will use interviews and focus groups to investigate the views of General Practice staff on the receptionists’ role in patient referral and whether training in this area would be helpful. The results of the RECEPTS study will have important implications for providers of Primary Care. The study will establish current practice in UK primary care in terms of General Practice receptionists’ knowledge of the presentation and appropriate referral of those who may be suffering a stroke. It will highlight training needs and how such training might be best delivered.
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