关于医疗复原力的管理观点:未来研究的框架和途径
L Agostini1, R Onofrio2, C Piccolo3
1Department of Management and Engineering, University of Padova, Stradella San Nicola 3, Padua, Italy. lara.agostini@unipd.it.
主要的健康危机凸显了医疗保健弹性需求. 本综述系统地分析了研究,并提出了一个框架,组织研究结果,以处理急性和慢性健康挑战的积极和反应性策略.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 组织性 组织性
背景情况:
- 最近的全球卫生危机 (埃博拉病毒,寨卡病毒,COVID-19) 增加了对医疗保健系统弹性的关注.
- 关于医疗复原力的现有科学文献是分散的,阻碍了进一步的研究和开发.
- 对于有效的医疗保健管理,需要清楚地了解弹性维度和研究流.
研究的目的:
- 系统地审查和综合现有关于医疗保健领域性方面的文献.
- 确定医疗复原力的关键维度,并提出一个新的分类框架.
- 用拟议的框架绘制和分析经验研究,以确定研究缺口和未来方向.
主要方法:
- 对医疗保健弹性理论文章和评论的系统文献综述.
- 确定和分析关键维度和理论方法的弹性.
- 基于确定维度的分类框架的开发.
- 使用框架对实证贡献进行系统化和审查.
主要成果:
- 确定了医疗复原能力的两个主要维度:方法 (反应性与主动性) 和危机类型 (急性冲击与慢性压力因素).
- 四个主要的研究流出现了:积极主动/反应对急性冲击和慢性压力因素的方法.
- 分析考虑了额外的维度:分析水平,资源和国家背景.
结论:
- 拟议的分类框架系统化了关于医疗复原力的碎片化文献.
- 提供了关于医疗复原力的当前研究状况的清晰概述.
- 确定了一个研究议程,为未来在医疗保健管理和政策方面的研究提供了有希望的途径.
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