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在全科医疗实践中实施基于软件的新冠后病例管理的试点研究中的患者体验——一项定性过程评估

Patient Experience from a Pilot Study Implementing Software-Based Post-COVID Case Management in GP Practices-A Qualitative Process Evaluation.

作者信息

Sesterheim Kathrin, Peters-Klimm Frank, Baldauf Annika, Ullrich Charlotte, Merle Uta, Szecsenyi Joachim, Stengel Sandra

机构信息

Department of Primary Care and Health Services Research, Heidelberg University Hospital, Heidelberg University, Im Neuenheimer Feld 130, 69120 Heidelberg, Germany.

Department of Internal Medicine IV, Heidelberg University Hospital, Heidelberg University, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany.

出版信息

Healthcare (Basel). 2025 Jul 15;13(14):1701. doi: 10.3390/healthcare13141701.

Abstract

: In Germany, the provision of healthcare for post-COVID patients primarily lies with general practitioners (GPs), who often lack the necessary knowledge and skills. As part of the PostCovidCare pilot study (PCC), case management software incorporating a symptom diary was introduced and piloted in = 10 GP practices with = 33 included patients involved (September 2022-March 2023). This study aimed to explore patients' experiences. : Semi-structured telephone interviews were transcribed and analyzed using qualitative content analysis. A total of = 10 patient interviews were conducted (July-September 2023). : Patients' experiences were heterogeneous. The service was largely structured, involving an extensive initial assessment, follow-up appointments, questionnaires, and support from medical assistants, but technical problems with the symptom diary occurred. The GP consultation played a prominent role. Positive aspects included being actively asked about their symptoms, being given a lot of time, initiating diagnostic and therapeutic measures, and having a closer relationship with their GP. Negative aspects included the time taken, resulting exhaustion, duplication of efforts, and insufficient involvement in the consultation process. : The pilot study conducted at an early stage of the post-COVID era demonstrated the basic feasibility of case management in primary care from patients' perspectives. In addition, for future projects, it is important to integrate patients into the design from the outset, adapt the software to users' needs, and consider care providers' perspectives.

摘要

在德国,为新冠康复患者提供医疗服务主要由全科医生负责,而他们往往缺乏必要的知识和技能。作为新冠后护理试点研究(PCC)的一部分,引入了一款包含症状日记的病例管理软件,并在10家全科医生诊所进行了试点,有33名患者参与(2022年9月至2023年3月)。本研究旨在探索患者的体验。采用定性内容分析法对半结构化电话访谈进行转录和分析。共进行了10次患者访谈(2023年7月至9月)。患者的体验各不相同。该服务在很大程度上是结构化的,包括广泛的初始评估、随访预约、问卷调查以及医疗助理的支持,但症状日记出现了技术问题。全科医生的会诊起到了突出作用。积极方面包括被主动询问症状、有大量时间、启动诊断和治疗措施以及与全科医生关系更密切。消极方面包括花费的时间、由此导致的疲惫、工作重复以及在会诊过程中参与不足。在新冠后时代早期进行的试点研究从患者角度证明了初级保健中病例管理的基本可行性。此外,对于未来项目而言,从一开始就将患者纳入设计、使软件适应用户需求并考虑护理提供者的观点非常重要。

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