"因为有专家这样做":卫生保健组织在与社区组织合作时所学到的经验教训
Laura B Beidler1, Caroline Fichtenberg2,3, Taressa K Fraze4,5
1The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, NH, Lebanon, USA.
医疗保健组织根据社会护理目标与社区组织 (CBOs) 建立合作伙伴关系. 大多数组织都依赖于CBO,关系的强度从简单的推到广泛的合作.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 社区健康 社区健康
- 医疗保健管理的管理
背景情况:
- 医疗保健组织越来越多地与社区组织 (CBOs) 合作,以解决患者的社会需求,如粮食和住房不安全.
- 关于这些关键的医疗保健-CBO关系的性质和结构的研究有限.
研究的目的:
- 了解医疗保健组织和公共医疗组织在实施社会护理倡议中的互动动态.
- 探索不同的医疗保健组织目标如何塑造他们与CBO的关系.
主要方法:
- 对来自29个不同的医疗保健机构的管理人员进行了33次半结构化的电话采访.
- 专注于医疗保健组织与参与社会需求规划的CBO关系的结构和目标.
主要成果:
- 在29个医疗保健组织中,有26个使用CBOs来满足患者的社会需求.
- 关系的强度有所不同:单向推需要最小的互动,合同服务需要领导和员工参与,社区层面的工作需要广泛的合作伙伴关系.
- 合作的关键建议包括早期参与,建立共同目标,定义领导角色,避免假设.
结论:
- 医疗保健组织根据具体的社会护理目标,调整与CBO的关系强度.
- 有限互动的非正式关系往往足以满足许多医疗保健-CBO活动.
- 该研究为优化医疗保健-CBO合作伙伴关系提供了见解,以有效地解决健康的社会决定因素.
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