中国医学科学院学报2024，Vol.46Issue(2)：217-224,8.DOI:10.3881/j.issn.1000-503X.15964
三级医院终末期患者转诊的家庭决策路径
Family Decision-Making Path for the Referral of Terminal Patients in Tertiary Hospitals
摘要
Abstract
Objective To gain an in-depth understanding of the motivations,patterns,and related factors in family decision-making regarding the referral of terminal patients in tertiary hospitals.Methods Using purposive sampling,terminal patients and their family members from three tertiary hospitals in Beijing were se-lected as subjects.Semi-structured interviews were conducted,and the interview data were subjected to thematic analysis.Results Following the saturation principle,a total of 11 patients and 15 family members were includ-ed.The interview data were organized and analyzed,yielding six major themes:decision premises,decision pat-terns,family support,support from the referring hospital's medical team,referral channel conditions,and in-volvement of volunteer teams and social support.Based on these findings,a flowchart illustrating the family deci-sion-making process for the referral of terminal patients was constructed.Conclusions The study provides a com-prehensive analysis of various factors influencing family decision-making in the referral of terminal patients in ter-tiary hospitals.The results underscore the significance of internal and external factors,emphasizing the integrated impact of decision patterns,family support,medical team support,referral channel conditions,and the in-volvement of volunteer teams and social support.The research offers profound insights into improving the referral process for terminal patients and enhancing the quality of family decision-making.It provides valuable recommen-dations for future improvements in medical services and decision support.关键词
终末期患者/转诊决策/家庭支持/家庭决策Key words
terminal patients/referral decision-making/family support/family decision-making分类
医药卫生引用本文复制引用
张珊,张晓天,岳鹏,杨晶,尹灼..三级医院终末期患者转诊的家庭决策路径[J].中国医学科学院学报,2024,46(2):217-224,8.基金项目
国家社会科学基金(22BSH150) （22BSH150）
