从患者的角度来看,高绩效的初级卫生保健机构:在中国进行的一项定性研究
Wenhua Wang1, Jinnan Zhang2, Katya Loban3
1School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, People's Republic of China. wenhua.wang@mail.mcgill.ca.
Global health research and policy
|August 6, 2023
概括
在高绩效的初级卫生保健 (PHC) 组织中,患者优先考虑组织资源,服务提供和临床实践. 地理可访问性,优质的护理和高效的结构也对有效的PHC系统至关重要.
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
- 组织研究 组织研究
背景情况:
- 全球强调发展以人为中心的初级卫生保健 (PHC) 系统.
- 组织层面的改革至关重要,以最大限度地发挥PHC政策变化的影响.
- 对高绩效的医疗保健组织患者观点的理解有限.
研究的目的:
- 制定高绩效的初级医疗保健 (PHC) 组织的个人资料.
- 为了捕捉患者的观点,有效的PHC的关键属性.
- 为未来的PHC组织发展和改革工作提供信息.
主要方法:
- 在中国六个省份对58名初级医疗保健 (PHC) 用户进行了半结构面试.
- 用于参与者招募的有目的和雪球采样技术.
- 主题分析,以PHC组织属性的分类系统为指导,用于识别关键领域和属性.
主要成果:
- 建立了高绩效医疗保健组织的五个领域概况,包括14个属性.
- 关键领域包括:组织资源,服务提供/临床实践,一般特征,质量/成本和组织结构.
- 组织资源,服务提供和临床实践受到患者的高度重视.
结论:
- 在PHC中以患者为中心,需要专注于特定的组织属性.
- 高效的PHC组织的特点是可访问的地点,高质量的护理和高效的结构.
- 未来的医疗保健改革应该整合这些患者所重视的组织要素,以提高系统性能.
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