“候鸟”老年人急诊异地就医真实体验的质性研究

doi:10.3761/j.issn.2096-7446.2024.06.007

摘要/Abstract

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。

关键词: 老年人, 异地就医, 就医体验, 质性研究

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.

Key words: Aged, Non-local Medical Treatment, Medical Experience, Qualitative Research

杨露, 李斌, 曾艳, 周明, 周诗铭, 张华, 高淑红. “候鸟”老年人急诊异地就医真实体验的质性研究[J]. 中华急危重症护理杂志, 2024, 5(6): 525-529.

YANG Lu, LIN Bin, ZENG Yan, ZHOU Ming, ZHOU Shiming, ZHANG Hua, GAO Shuhong. The non-local emergency medical treatment experience in migratory elders：a qualitative study[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(6): 525-529.

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