农村土著社区控制的卫生组织的响应能力:定性研究
Hannah Beks1, Kevin P Mc Namara1, Fiona Mitchell Mununjali1
1Deakin Rural Health, Deakin University, Warrnambool, Victoria, Australia.
The Australian journal of rural health
|October 6, 2023
概括
原住民社区控制的卫生组织 (ACCHO) 对于文化安全的农村医疗保健至关重要. 这项研究制定了一个框架,展示了ACCHO如何导航复杂的系统,以满足土著社区的健康需求.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 土著健康土著健康
- 健康系统的响应能力 医疗系统的响应能力
背景情况:
- 在全球范围内,医疗保健系统的响应能力未得到充分研究.
- 原住民社区控制卫生组织 (ACCHO) 对于澳大利亚原住民和托雷斯海峡岛民的整体,文化安全的初级保健至关重要.
- ACCHO有很好的地位,可以满足社区的健康需求.
研究的目的:
- 开发一个概念框架,以了解农村ACCHO的响应能力.
- 检查农村ACCHO如何满足其服务区域内的土著和托雷斯海峡岛民的医疗保健需求.
主要方法:
- 质量面试研究使用绑架推理.
- 从两个评估中从土著客户,关键信息人员和ACCHO卫生人员收集的数据.
- 代分析以确定关键概念并开发一个概念框架.
主要成果:
- 开发了一个概念框架,涵盖了三个关键概念:在复杂的适应系统中运行,ACCHO响应机制和面临的挑战.
- 22名参与者和28名采访者为框架开发做出了贡献.
- 该框架强调了ACCHO运营与更广泛的医疗保健系统之间的相互作用.
结论:
- 概念框架加强了ACCHO在提供文化安全的农村医疗保健方面的价值.
- ACCHO必须平衡社区健康需求与更广泛的卫生系统的需求.
- 在资源和服务提供方面,当外部系统组件与社区需求发生冲突时,就会出现挑战.
关键词:
原住民社区控制的卫生组织澳大利亚原住民和托雷斯海峡岛民.复杂的适应性系统是复杂的适应性系统.医疗保健服务 医疗保健服务这是土著的土著.初级医疗保健是一项主要的医疗保健.响应性 响应性 响应性农村卫生服务 农村卫生服务更多相关视频
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