确定强大初级保健的关键政策目标:一项跨部门研究
Sarah Burgmann1, Muna Paier-Abuzahra1, Martin Sprenger2
1Institute of General Practice and Evidence-based Health Services Research, Medical University of Graz, Neue Stiftingtalstraße 6, Graz8010, Austria.
利益相关者发现强制性通用实习和职业培训对于初级保健改革非常相关和可行. 现代的薪酬制度需要进一步的努力才能成功实施.
科学领域:
- 医疗保健政策 医疗保健政策
- 主要护理改革的第一步是
- 医疗保健服务研究 医疗服务研究
背景情况:
- 自2013年以来,奥地利的初级保健 (PC) 系统一直在进行改革,以建立多专业单位.
- 这些改革具有多重目标,但缺乏明确的优先级.
研究的目的:
- 确定初级保健改革的关键政策目标.
- 调查利益相关者和专业人士对客观相关性和可行性的看法.
主要方法:
- 一项跨部门在线调查分发给初级保健和公共卫生网络.
- 分析了169份问卷,使用描述性统计,奇方形/费舍尔的精确测试和定性内容分析.
主要成果:
- 强制性通用实习,职业培训和现代薪酬在相关性方面获得了最高评分.
- 实习和专业化被认为是最可行的;小组比较显示没有显著差异.
- 利益相关者认为实习和职业培训是可以实现的,而报酬和质量保证需要更多的努力.
结论:
- 初级保健改革需要可实现的目标,如实习和培训适应.
- 复杂的目标,如现代薪酬和质量保证,需要专门的战略.
- 能力建设和以团队为导向的环境对于成功进行初级保健改革至关重要.
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