面向目标的初级保健的实施过程是否会成功? 这是一项定性研究,调查了以目标为导向的护理的五个感知属性
Ine Huybrechts1, Anja Declercq2, Emily Verté1
1Department of Family Medicine and Population Health, University of Antwerp, Doornstraat 331, 2610, Antwerp, Belgium; Department of Family Medicine and Chronic Care, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090, Jette, Brussels, Belgium.
Social science & medicine (1982)
|July 14, 2023
概括
以目标为导向的护理 (GOC) 的实施需要组织和政策支持,而不仅仅是个别提供者. 关键的驱动因素包括认可,承诺和协调,这对于成功采用这种以人为中心的方法至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
背景情况:
- 在西方国家,以目标为导向的护理 (GOC) 是以人为中心和综合的医疗保健为主.
- 中国政府的成功实施需要中和宏观层面的战略,而不仅仅是微观层面的供应商变更.
研究的目的:
- 探索参与实施中国政府的中和宏观层面利益相关者的经验和行动.
- 确定影响中国政府在医疗保健系统和政策中的采用和整合的因素.
主要方法:
- 与23个不同的参与者 (政策制定者,组织领导人,患者团体) 进行了深入的半结构化访谈.
- 利用现实的采访方法收集丰富的见解.
- 通过罗杰斯的创新扩散 (DOI) 理论解释发现.
主要成果:
- 确定了中国政府实施的三个主要驱动因素:承认,承诺和协调.
- 分析了从创新传播理论中影响实施成功的五个属性.
- 强调了组织和政策层面参与的关键作用.
结论:
- 调查结果为支持和促进中国政府实施提供了可操作的见解.
- 了解利益相关者的经验和创新属性是成功采用中国政府的关键.
- 在扩展以人为中心的综合护理模式方面,中级和宏观层面的支持至关重要.
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