老年患者就诊医养结合门诊的影响因素质性研究

Influencing factors of elderly patients visiting medical and nursing outpatient service:a qualitative study

目的分析老年患者就诊医养结合门诊的影响因素,并为探索具有中国特色的养老服务提供重要依据。方法采用质性研究方法,选取2022年1月至2022年7月在广州中医药大学第二附属医院医养结合门诊就诊的12例老年患者作为访谈对象,进行半结构式访谈,采用Colaizzi的七步法进行主题分析。结果老年患者就诊医养结合门诊的影响因素归为4个主题:个人因素(缺乏医养结合相关知识、信息渠道局限、对医务人员的信任度、个人经济状况)、家庭因素(家人支持)、社会因素(医保政策、公众认可度)、服务因素(疗效预期、需求多样化、预约顺畅度)。结论为满足老年群体对医养结合的需求,建议加强宣传力度,拓宽宣传渠道,培养家庭照护观念,健全医养结合门诊医保政策,优化就诊流程,发挥中医药特色医养结合养老服务.

Objective To explore the influencing factors of elderly patients visiting medical and nursing outpatient service,and to provide an important basis for the exploration of elderly care services with Chinese characteristics.Methods Using the qualitative research method,12 elderly patients who were treated in the outpatient department of The Second Affiliated Hospital of Guangzhou University of Chinese Medicine from January 2022 to July 2022 were selected as interviewees for semi-structured interview,and the seven-step method of Colaizzi was used for thematic analysis.Results The influencing factors of elderly patients visiting medical and nursing outpatient service included four themes:personal factors(lack of knowledge of medical care,limited information channels,trust in medical staff,and personal economic status),family factors(family support),social factors(medical insurance policy and public recognition),and service factors(efficacy expectation,demand diversification,and appointment smoothness).Conclusion It is suggested to strengthen the publicity,broaden the publicity channels,cultivate the concept of family care,improve the outpatient medical insurance policy combining medical care,optimize the medical treatment process,and give full play to the combination of elderly care services with traditional Chinese medicine characteristics.