“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

作　　者：杨露[1] 李斌[1] 曾艳[1] 周明 周诗铭 张华[2] 高淑红 YANG Lu;LIN Bin;ZENG Yan;ZHOU Ming;ZHOU Shiming;ZHANG Hua;GAO Shuhong(Emergency Department,HaiNan Affiliated Hospital of HaiNan Medical University,HaiKou,570311,China;不详)

机构地区：[1]海南省人民医院急诊科,海口市570100 [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

出　　处：《中华急危重症护理杂志》2024年第6期525-529,共5页Chinese Journal of Emergency and Critical Care Nursing

基　　金：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);海南省重点研发项目(ZDYF2022HFZ102);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)。

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。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 Colaizzi7-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 

分 类 号：R47[医药卫生—护理学]