"一带一路的解决方案":政策制定者和初级保健提供者对依恋激励价值的看法
Emily Gard Marshall1, Mackenzie Cook2, Lauren Moritz3
1Professor, Primary Care Research Unit, Dalhousie Family Medicine, Dalhousie University, Halifax, NS.
Healthcare policy = Politiques de sante
|July 24, 2023
概括
财政激励措施可能会短暂地帮助没有初级保健提供者的加拿大人,但系统性问题仍然存在. 加强初级医疗保健需要解决提供者短缺问题,并改进可持续患者依恋的实践模式.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理政策 基本护理政策
- 质量健康研究 质量健康研究
背景情况:
- 大约有15%的加拿大人没有初级保健提供者,这种情况被称为"脱离".
- 几个加拿大省份已经为家庭医生实施了经济激励措施,以吸引新患者.
- 了解利益相关者对这些激励措施的看法对于有效的初级保健政策至关重要.
研究的目的:
- 探讨家庭医生,护士执业人员和政策制定者关于患者获得和依附于初级保健的观点.
- 评估金融激励措施在促进患者依恋方面的感知价值和有效性.
- 确定加强初级医疗保健系统的替代策略.
主要方法:
- 采用了一种描述性的定性方法.
- 与新斯科舍省的关键利益相关者进行了半结构化的定性访谈.
- 用专题分析来分析采访数据.
主要成果:
- 参与者承认,对患者依恋的经济激励有潜在的短期益处.
- 发现的关键缺陷包括激励措施无法解决潜在的系统挑战.
- 建议的替代策略重点关注供应商短缺和可持续的实践模式.
结论:
- 仅仅是财政激励是不足以克服系统性障碍,以获得初级保健和附件.
- 可持续的解决方案需要解决初级保健提供者的短缺问题.
- 开发支持性报酬和实践模型对于长期的患者依恋至关重要.
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