کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4138838 1411177 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Change in Residents' Experience in Continuity Clinic After Patient-Focused Primary Care Redesign
ترجمه فارسی عنوان
تغییر در تجربه ساکنان در کلینیک مستمر پس از طراحی مجدد مراقبت های اولیه متمرکز بر بیمار
کلمات کلیدی
کلینیک تداوم؛ مراقبت های اولیه؛ بهبود کیفیت؛ طراحی مجدد؛ آموزش و پرورش ساکن
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

ObjectiveEvaluation of efforts to redesign primary care has primarily focused on clinical services, with limited assessment of the effect on learners. This study evaluated the change in pediatric residents' perception of training, teamwork, and patient care in 2 different continuity clinic settings that were implementing patient-focused primary care redesign.MethodsContinuity clinic residents at 2 large urban pediatric training programs completed a survey, developed de novo, before and after primary care redesign. Differences in the proportion of positive (≥4 of 5) ratings before and after redesign were compared using chi-squared tests in 2 practice sites, each of which focused on improving specific aspects of their practice.ResultsThe response rate was >70% in both sites and in both years. Residents in the site focused on teamwork and continuity were more likely to report improved teamwork training (64% vs 83%; P < .05) and teamwork among residents (82% vs 98%; P < .05) after redesign. Perception of overall quality of care in clinic also improved (47% vs 68%; P < .05). Residents in the site focused on clinic flow were more likely to report that physicians, nurses, and administrative staff worked together to optimize patient flow after redesign (25% vs 48%; P < .05). No improvements were seen in domains without focused interventions in either site.ConclusionsPractice redesign focused on clinical outcomes can positively affect resident perception of their training and clinical experience in continuity clinic. Future redesign efforts deliberately involving residents might further enhance continuity clinic training.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Academic Pediatrics - Volume 16, Issue 7, September–October 2016, Pages 616–620
نویسندگان
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