荷兰紧急护理的重新配置:从多学科的角度来看,利益冲突和权衡
Nanne van Velzen1, Richard Janssen1, Marco Varkevisser1
1Erasmus School of Health Policy & Management (ESHPM) and Erasmus Centre for Health Economics Rotterdam (EsCHER), Erasmus University Rotterdam, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands.
利益相关者讨论了紧急部门 (ED) 的集中,并指出了好处和缺点. 公共卫生目标和更狭窄的利益出现了冲突,呼吁国家决策和紧急护理系统的区域适应.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 各国正在重组紧急护理系统,经常集中紧急服务部门 (ED).
- 荷兰正在经历这种趋势,引发了利益相关者之间关于最佳策略的辩论.
- 了解利益相关者的观点对于制定有效的卫生政策至关重要.
研究的目的:
- 检查利益相关者对荷兰集中紧急服务部门 (ED) 的看法.
- 在紧急护理重组中识别利益冲突和权衡.
- 为健康政策提供信息,以提供高效和高质量的紧急护理.
主要方法:
- 进行了重点小组和半结构面试.
- 参与紧急护理专业人员,医院高管和外部利益相关者.
- 分析定性数据以确定关键主题和观点.
主要成果:
- 参与者承认ED度的优点和缺点,有不同的意见.
- 确定了公共卫生保健目标 (质量,可访问性,可负担性) 和特定利益 (医院,保险公司,专家) 的冲突.
- 没有单一的首选模式出现,但建议将国家决策和区域定制结合起来.
结论:
- 利益相关者参与揭示了紧急部门集中的复杂权衡.
- 将广泛的公共卫生目标与特定利益相平衡,对政策至关重要.
- 集中战略和区域适应的混合方法可以指导未来的紧急护理组织.
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