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首页> 外文期刊>International journal of health care quality assurance >Patients' expectations and solutions for improving primary diabetes care
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Patients' expectations and solutions for improving primary diabetes care

机译：患者对改善初级糖尿病护理的期望和解决方案

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Purpose - The purpose of this paper is to document health care needs expressed by people living with diabetes, describe the solutions they envisaged for improving the quality of primary care (PC) services and empower them to make better use of PC services. Design/methodology/approach - A participatory research approach was used. Six workshops were organised to provide diabetes patients with knowledge on available services and to engage them in sharing their experience. Group discussions were recorded. Data were analysed using the thematic analysis method. Findings - In total, 79 persons living with diabetes for a mean of 13 years participated. Needs expressed were grouped under seven themes: assurance of satisfactory follow-up by a family physician, continuous access to services adapted to evolving needs, motivation to adopt and maintain healthy behaviours, maintenance of knowledge about diabetes, psychological support, financial constraints, and collaboration with secondary-level services. Patients proposed solutions for improving services that were grouped under five themes: facilitating access to services, disseminating information about available services, centralising diabetes information on the internet, offering personalised services and improving interprofessional collaboration. Practical implications - Needs expressed by diabetic patients concern different aspects of care such as accessibility, organisation, coordination, and better dissemination and visibility of services. The solutions proposed by patients focussed on better access to information and interprofessional services. Originality/value - The workshop format used in this study offers an original and interesting approach and tool for actively engaging patients in quality improvement of services.
机译：目的-本文的目的是记录糖尿病患者表达的医疗保健需求，描述他们为改善初级保健（PC）服务质量而设想的解决方案，并使他们能够更好地利用PC服务。设计/方法/方法-使用了参与性研究方法。组织了六个讲习班，为糖尿病患者提供有关可用服务的知识，并让他们分享经验。记录了小组讨论。使用主题分析方法分析数据。调查结果-共有79位平均13年的糖尿病患者参加了研究。所表达的需求分为七个主题：家庭医生确保令人满意的随访，持续获得适应不断变化的需求的服务，采用和维持健康行为的动机，维持有关糖尿病的知识，心理支持，财务困难和协作与二级服务。患者提出了改善服务的解决方案，这些解决方案分为五个主题：促进对服务的访问，传播有关可用服务的信息，在互联网上集中糖尿病信息，提供个性化服务以及改善跨专业合作。实际意义-糖尿病患者表达的需求涉及护理的不同方面，例如可及性，组织性，协调性以及更好的服务传播和可见性。患者提出的解决方案侧重于更好地获取信息和跨专业服务。原创性/价值-本研究中使用的研讨会形式提供了一种新颖有趣的方法和工具，可以使患者积极参与改善服务质量的过程。

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