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首页> 外文期刊>BMC Family Practice >Danish general practitioners have found their own way of using point-of-care ultrasonography in primary care: a qualitative study
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Danish general practitioners have found their own way of using point-of-care ultrasonography in primary care: a qualitative study

机译：丹麦全科医生发现了自己在初级保健中使用即时医疗超声的方法：一项定性研究

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General practitioners increasingly use point-of-care ultrasonography despite a lack of evidence-based guidelines for their appropriate use in primary care. Little is known about the integration of ultrasonography in general practice consultations and the impact of its use on patient care. The purpose of this study was to explore general practitioners’ experiences of using ultrasonography in the primary care setting. Adopting an explorative phenomenological approach, we performed semi-structured interviews with general practitioners who used ultrasonography in their daily work. Thirteen general practitioners were recruited stepwise, aiming for maximum variation in background characteristics. Interviews were conducted at the general practitioner’s own clinic. Transcription and systematic text condensation analysis began immediately after conducting each interview. The general practitioners described using ultrasonography for both selected focused examinations and for explorative examinations. The two types of examinations were described differently for each of the following emerging themes: motivation for using ultrasonography, ultrasonography as part of the consultation, selection of an ultrasound catalogue, and consequences of the general practitioner’s ultrasound examination. The general practitioners had chosen and integrated their own individual ultrasound catalogue of focused examinations as a natural part of their consultations. The focused examinations were used to answer simple clinical questions and they had a significant impact on the patients’ diagnoses, clinical pathways and treatments. The general practitioners considered their own catalogue of focused examinations as their comfort zone. However, they also performed explorative ultrasound examinations outside their catalogue. These scans were performed to train, gain or maintain ultrasound competences or as explorative examinations driven by curiosity. The explorative ultrasound examinations rarely had an impact on patient care. This study describes how general practitioners found their own way of using ultrasonography in general practice and selected a personal catalogue of ultrasound examinations that was applicable, relevant and meaningful for their daily clinical routines. This study may serve to inform implementation strategies in general practice by offering insights into central aspects that drive general practitioners’ behaviours.
机译：尽管缺乏在适当的基础上使用循证医学指导原则，全科医生也越来越多地使用即时医疗超声。关于超声检查在一般实践咨询中的整合及其对患者护理的影响知之甚少。这项研究的目的是探讨全科医生在基层医疗机构中使用超声检查的经验。我们采用探索性的现象学方法，对在日常工作中使用超声检查的全科医生进行了半结构化访谈。逐步招募了13名全科医生，旨在最大程度地改变背景特征。访谈是在全科医生自己的诊所进行的。进行每次采访后，便立即开始进行转录和系统的文本压缩分析。全科医生描述了将超声检查用于选定的重点检查和探索性检查。针对以下每个新兴主题对两种类型的检查进行了不同的描述：使用超声检查的动机，作为咨询一部分的超声检查，超声目录的选择以及全科医生超声检查的结果。全科医生选择并整合了他们自己的重点检查超声个人目录，这是他们咨询的自然组成部分。重点检查用于回答简单的临床问题，对患者的诊断，临床途径和治疗产生重大影响。全科医生将自己的重点检查目录视为自己的舒适区。但是，他们还在目录之外进行了探索性超声检查。进行这些扫描是为了训练，获得或保持超声能力，或者是出于好奇心而进行的探索性检查。探索性超声检查很少会对患者的护理产生影响。这项研究描述了全科医生如何找到自己在一般实践中使用超声检查的方式，并选择了适合其日常临床工作的，适用的，相关的和有意义的个人超声检查目录。这项研究可以通过深入了解推动全科医生行为的主要方面，从而为普通实践中的实施策略提供信息。

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