家庭医生与系统变革合作:安大略省卫生团队在发展中的多个案例研究
Colleen Grady1, Sophy Chan-Nguyen2, David Mathies3
1Centre for Studies in Primary Care, Department of Medicine, Queen's University, 220 Bagot Street, Kingston, ON, K7L 3G2, Canada. colleen.grady@queensu.ca.
家庭医生参与安大略省卫生团队 (OHTs) 对于综合护理至关重要. 解决医生面临的诸如倦怠和工作负担之类的挑战是成功实施和治理OHT的关键.
科学领域:
- 医疗保健管理的管理
- 综合护理模式 综合护理模式
- 初级保健研究研究初级保健研究
背景情况:
- 安大略省卫生团队 (OHT) 模式旨在协调加拿大安大略省的社区护理.
- 初级保健是OHT的核心,但医生参与规划和治理是具有挑战性的.
- 本研究探讨了家庭医生参与OHTs的推动因素和障碍.
研究的目的:
- 确定促进家庭医生参与OHTs的流程和结构.
- 描述家庭医生在参加OHT时所面临的挑战.
- 为加强医生参与综合护理计划的战略提供信息.
主要方法:
- 采用了一种定性,探索性的多个案例研究设计.
- 与四个OHT的39名OHT利益相关者进行了半结构化访谈.
- 对面试成绩单和60多份内部/外部文件进行了主题分析.
主要成果:
- 需要正式的结构和流程来支持医生参与.
- 关键的挑战包括医生怀疑,倦怠,繁重的工作负载和COVID-19大流行.
- 面对面的沟通和合作历史对参与产生了积极的影响,在各个案例中存在类似的挑战.
结论:
- 安大略省卫生团队显示出通过集体行动解决卫生系统问题的潜力.
- 承认和解决医生挑战对于成功的OHT发展至关重要.
- 在OHT治理和交付的所有层面上,有意义的医生参与对于模型的可持续性至关重要.
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