东莞市中老年慢性病家庭医生签约服务需求的质性研究

A qualitative research on demand for contracted family doctor services in middle-aged and elderly patients with chronic diseases in Dongguan

目的探讨东莞市中老年慢性病签约患者对家庭医生团队的服务需求,为进一步完善慢性病家庭医生签约服务项目提供依据。方法2018年8-12月,采用目的抽样法选取东莞市签约家庭医生服务的中老年慢性病患者共20例进行半结构式访谈,并用Colaizzi分析法分析资料。结果对访谈资料剖析和归类,提炼出6个主题,即政策及服务认知需求、疾病知识技能需求、药物治疗需求、康复护理需求、心理社会支持、网络服务需求。结论中老年慢性病患者对家庭医生团队服务需求较高,医护人员应加强多学科协作,强化慢性病健康教育,关注患者的心理健康,借助中老年慢性病家庭医生网络管理平台,最大程度地满足患者的医疗护理服务需求。

Objective To explore demand for contracted family doctor services in middle-aged and elderly patients with chronic diseases in Dongguan so as to provide a basis for further improving the contracted family doctor service items of chronic disease.Methods From August to December 2018,a total of 20 middle-aged and elderly patients with chronic diseases who signed up for family doctor service in Dongguan city were selected for semi-structured interviews using the objective sampling method,and the data were analyzed with the Colaizzi analysis method.Results By analyzing and categorizing the interview data,six themes were extracted,namely,policy and service cognitive needs,disease knowledge and skills needs,drug treatment needs,rehabilitation care needs,psychosocial support and network service needs.Conclusions Middle-aged and elderly patients with chronic diseases have a high demand for family doctor team services.Medical staff should strengthen multidisciplinary collaboration,strengthen chronic disease health education,pay attention to mental health of patients and use the network management platform of family doctors for elderly patients with chronic diseases to maximize the needs of patients for medical care services.