使用药物的人通常不信任初级保健系统,阻碍进入。
在阐明如何改善患者安全感的研究基础上,通过与医生和患者代表共同创建最佳实践指南。
获得研究伦理委员会批准后,这项定性研究涉及22名参与者,包括患者,医师,和卫生系统合作伙伴。我们举办了一系列研讨会,由患者和研究人员共同推动,与研究的三个阶段相对应:(1)在研讨会期间为参与者建立文化安全流程;(2)促进,协作世界咖啡馆制定指南内容;(3)验证最佳实践指南。制定并实施了一项实施计划。最后,麦吉尔大学进行了外部同行评审。
制定了最佳实践指南,为患者提供了如何加强初级保健的观点。如下:(1)了解创伤信息;(2)考虑您的临床环境;(3)建立网络;(4)提供一系列资源;(5)共同制定长期治疗计划;(6)帮助我保持健康;(7)确保及时获得专门的医疗和外科护理;(8)成为倡导者;(9)寻求反馈;(10)跟进。开发和分发了资源。
最佳实践指南反映了患者对患者遇到的常见挑战的看法,这阻碍了他们获得初级保健。他们支持初级保健医生为这个具有挑战性的患者群体提供更有效的服务。
People who use substances often mistrust the primary care system, impeding access.
To build on research clarifying how to improve patients\' feelings of safety, through co-creating best practice
guidelines with physicians and patient representatives.
After obtaining Research Ethics Board approval, this qualitative study engaged 22 participants including patients, physicians, and health system partners. We held a series of workshops, co-facilitated by patients and researchers, corresponding to 3 phases of the research: (1) establishment of cultural safety processes for participants during the workshops; (2) a facilitated, collaborative world café to develop
guideline content; (3) validation of best practice
guidelines. An implementation plan was developed and implemented. Finally, an external peer review was conducted by McGill University.
Best practices
guidelines were developed giving the patient perspective on how to enhance primary care, as follows: (1) become trauma informed; (2) consider your clinical environment; (3) build a network; (4) supply an array of resources; (5) co-create a long-term treatment plan; (6) help me to stay healthy; (7) ensure timely access to specialized medical and surgical care; (8) be an advocate; (9) ask for feedback; (10) follow up. Resources were developed and disseminated.
The best practice
guidelines reflect the patients\' perspectives on common challenges patients have encountered, which impede their access to primary care. They support primary care physicians in providing more effective services to this challenging population of patients.