[机构对地方卫生委员会的影响]
Priscila Norié de Araujo1, Fabiana Ribeiro Santana2, Poliana Silva de Oliveira1
1Programa de Posgrado Enfermería en Salud Pública, Escuela de Enfermería de Ribeirão Preto, Universidad de São Paulo, Ribeirão Preto, São Paulo, Brasil.
Atencion primaria
|October 11, 2023
概括
机构分析显示,初级卫生保健机构的社会行为者维持着层次结构,经常低估患者在当地卫生委员会会议上的意见. 这些动态影响健康管理,尽管未被认可的外部力量影响了护理.
科学领域:
- 公共卫生 公共卫生
- 健康管理健康管理
- 卫生社会学 卫生社会学
背景情况:
- 地方卫生委员会 (LHC) 对于参与式的卫生治理至关重要.
- 了解机构对LHC运营的影响对于有效的初级卫生保健 (PHC) 至关重要.
研究的目的:
- 分析机构对地方卫生委员会运作的影响.
- 探索社会参与者和机构框架如何塑造医疗保健委员会治理.
主要方法:
- 使用制度分析进行定性,描述和探索性研究.
- 通过28次半结构面试,观察和参与理事会活动收集的数据.
- 分析涉及转录,转换和重建来自24名LHC成员和4名关键信息者的数据.
主要成果:
- 医疗保健机构在医疗保健中心内延续了层次结构,优先考虑专业和管理者的声音而不是患者.
- 会议往往是官僚化的,社会行为者反映了各自集体的理想.
- 正式和非正式的团体在卫生领域发挥影响力,影响PHC的活动.
结论:
- 卫生管理团队往往无法识别影响卫生领土和医疗服务的各种力量.
- 这些未被认可的力量,在正式和非正式空间运作,显著影响PHC操作和患者的结果.
- 解决这些制度动态对于公平有效的卫生治理至关重要.
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