ISSN 2097-6046(网络)
ISSN 2096-7446(印刷)
CN 10-1655/R
主管:中国科学技术协会
主办:中华护理学会
改善护理服务行动计划实践与成效专题

“候鸟”老年人急诊异地就医真实体验的质性研究

  • 杨露 ,
  • 李斌 ,
  • 曾艳 ,
  • 周明 ,
  • 周诗铭 ,
  • 张华 ,
  • 高淑红
展开
  • 570100 海口市 海南省人民医院急诊科(杨露,李斌,曾艳); 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(周明,张华); 海南省托老院(周诗铭,高淑红)
杨露:女,硕士,主管护师,副护士长,E-mail:yanglu880228@163.com

收稿日期: 2023-09-28

  网络出版日期: 2024-06-21

基金资助

海南省重点研发项目(ZDYF2022HFZ102); 海南省自然科学基金项目(822MS071); 海南省自然科学基金高层次人才项目(820RC779); 海南省高等学校教育教学改革研究项目(HnjgS2022-8); 海南医学院校级教学成果奖培育项目(HYjcpx202202)

The non-local emergency medical treatment experience in migratory elders:a qualitative study

  • YANG Lu ,
  • LIN Bin ,
  • ZENG Yan ,
  • ZHOU Ming ,
  • ZHOU Shiming ,
  • ZHANG Hua ,
  • GAO Shuhong
Expand
  • Emergency Department,HaiNan Affiliated Hospital of HaiNan Medical University,HaiKou, 570311,China

Received date: 2023-09-28

  Online published: 2024-06-21

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。

本文引用格式

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 . DOI: 10.3761/j.issn.2096-7446.2024.06.007

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.

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