"候鸟"老年人急诊异地就医真实体验的质性研究
The non-local emergency medical treatment experience in migratory elders:a qualitative study
杨露 1李斌 1曾艳 1周明 2周诗铭 3张华 2高淑红3
作者信息
- 1. 570100 海口市海南省人民医院急诊科
- 2. 海南医学院国际护理学院/海南省运动与健康促进哲学社会科学重点实验室
- 3. 海南省托老院
- 折叠
摘要
目的 了解"候鸟"老年人急诊异地就医的真实体验,为强化"候鸟"老年人异地就医保障、改善其就医体验提供参考.方法 采用目的抽样法,选取2022年1月—2023年2月在海南省某三级甲等医院急诊科就诊的"候鸟"老年人作为研究对象,对其进行半结构式深入访谈,采用Colaizzi现象学7步分析法对访谈资料进行分析、归纳及提炼主题.结果 "候鸟"老年人急诊异地就医真实体验可划分为3个亚主题:救治服务与患者需求存在差距、医保异地报销政策有待进一步落地、树立积极认知.结论 异地就医的"候鸟"老年人面临诸多挑战,各级管理部门应强化"候鸟"老年人异地就医保障、提高社会支持和参与力度,协助患者应对异地就医中的困境,为异地急诊就医的"候鸟"老年人提供最佳照护.
Abstract
Objective To understand the real experience of migratory elders with non-local emergency medical treatment,and provide reference for strengthening the guarantee of non-local emergency medical treatment for migratory elders and improving their medical experience.Methods Purposive sampling method was used to select migratory elders who received non-local emergency medical treatment in a tertiary Class A Hospital of Hainan province from January 2022 to February 2023.Semi-structured in-depth interviews were conducted,and the Colaizzi 7-step analysis was adopted to analyze,summarize,and refine the interview data into themes.Results The experience of non-local emergency medical treatment among the migratory elders could be summarized into three sub-themes:gap between emergency services and patient needs,the policy of non-local medical insurance reimbursement needs to be further implemented,establishing positive cognition.Conclusion Migratory elders seeking non-local emergency medical treatment face many challenges,management departments at all levels should strengthen the guarantee for migratory elders who received non-local medical treatment,enhance social support and participation,assist patients in coping with difficulties during the process of receiving non-local medical treatment,providing the best care for migratory elders.
关键词
老年人/异地就医/就医体验/质性研究Key words
Aged/Non-local Medical Treatment/Medical Experience/Qualitative Research引用本文复制引用
出版年
2024
NETL
NSTL
万方数据