关于公众对初级保健提供者看法的定性研究。

IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-12-01 Epub Date: 2024-12-21 DOI:10.1097/01.JAA.0000000000000078
Chris Gillette, Jan Ostermann, Sarah Garvick, Christine M Everett, Jessica Valente, Aylin Aguilar Aguilar, Kandice Lacci-Reilly
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引用次数: 0

摘要

目的:随着提供初级保健服务的助理医师(PA)和护士(NP)的增加,我们试图了解公众对他们在临床环境(如初级保健)中可能遇到的不同类型的医疗保健提供者(HCP)的看法:本研究旨在评估公众对各类初级保健提供者(PCP)的看法,确定公众对初级保健提供者的经验和培训方面的偏好,并考察公众对初级保健提供者资质的偏好:我们对成年人进行了半结构式访谈,并使用归纳和演绎编码及反思性主题分析法对数据进行了分析:我们在完成 12 次访谈后达到了主题饱和。参与者对他们在初级保健环境中可能遇到的保健医生类型(例如,医生、助理医师、护士)感到困惑。倾向于选择医生的受访者看重的是接受过更多年的培训以及他们在医学等级制度中的作用;倾向于选择助理医师或护师的受访者表示,同情心、耐心和更长的门诊时间对他们来说是最重要的:以前的报告指出,公众可能会对初级保健就诊时可能遇到的不同类型的保健医生感到困惑。参与者指出了他们在选择初级保健医生时所重视的具体特征。可能需要开展直接、协调的营销活动来教育公众,减少对不同类型初级保健医生的混淆,了解他们如何为安全、高质量的医疗服务做出贡献,并确保提供与偏好相一致的医疗服务。
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A qualitative study about the public's perception of primary care providers.

Objective: With the growth of physician associates/assistants (PAs) and NPs providing primary care services, we sought to understand the public's perception of the different types of healthcare providers (HCPs) they might encounter in a clinical setting, such as primary care.

Objectives: This study aimed to evaluate public perceptions about various types of primary care providers (PCPs), identify public preferences for PCPs in relation to experience and training, and examine public preferences for PCP credentials.

Methods: We conducted semistructured interviews with adults, and used inductive and deductive coding and reflexive thematic analysis to analyze the data.

Results: We reached thematic saturation after 12 completed interviews. Participants reported confusion about the types of HCPs they might encounter in a primary care setting (for example, physician, PA, NP). Participants who reported a preference for a physician valued more years in training and their role in the hierarchy of medicine; those who reported a preference for a PA or NP indicated that compassion, patience, and longer clinic visit times were most important to them.

Conclusions: Previous reports suggested that the public might be confused by the different types of HCPs they might encounter during a primary care visit. Participants identified specific characteristics that are important when they are choosing their PCP. A direct, coordinated marketing campaign may be needed to educate the public and reduce confusion about different types of PCPs, how they contribute to safe and high-quality care, and ensure preference-concordant care.

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来源期刊
CiteScore
1.20
自引率
9.10%
发文量
310
期刊介绍: ​​​JAAPA is the peer-reviewed clinical journal of the American Academy of Physician Assistants (AAPA). Published for more than 25 years, its mission is to support the ongoing education and advancement of physician assistants (PAs) by publishing current information and research on clinical, health policy, and professional issues. Published monthly, JAAPA''s award-winning editorial includes: -Clinical review articles (with AAPA-approved Category I CME in each issue)- Case reports- Clinical departments- Original health services research- Articles on issues of professional interest to PAs
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