在心理健康和福祉背景下理解协作和协调护理:有效服务整合的基本要素
Bronwyn Williams1, Rosemary Charleston2, Stanley Innes1
1Adult Mental Health Program, Eastern Health, Box Hill, Victoria, Australia.
澳大利亚心理健康 (MH) 服务中的协作和协调护理 (CCC) 需要牢固的关系和共享的知识. 障碍包括复杂的系统,耻辱和资金模式,需要改进系统导航和稳定的资金.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
- 提供残疾人服务.
背景情况:
- 澳大利亚的健康和社区服务正在进行重大改革,包括国家残疾保险计划 (NDIS).
- 政策要求服务整合,需要新的心理健康 (MH) 和残疾支持的协作模式.
- 协作和协调护理 (CCC) 对于有效的服务整合至关重要.
研究的目的:
- 调查澳大利亚MH和残疾服务中协作和协调护理 (CCC) 的促进者和障碍.
- 了解服务提供商,消费者和护理人员关于CCC的经验.
主要方法:
- 采用专题分析采访的定性研究.
- 从四个队伍收集的数据:卫生/社区服务领导者 (n=16),工作人员 (n=23),MH消费者 (n=10) 和MH护理人员 (n=10).
- 报告遵循了 COREQ 和 EQUATOR 的指导方针.
主要成果:
- 积极的工作关系和跨部门知识深度使CCC成为可能.
- 显著的障碍包括复杂的服务导航,耻辱,权力差异,快速改革和费用服务 (FFS) 模式.
- 主题突出了当前CCC交付的实践经验.
结论:
- 推可访问的导航,消费者友好的环境和劳动力稳定性.
- 标准化的知识,结果措施和专门的资金对CCC至关重要.
- 解决系统性障碍对于成功的服务集成至关重要.
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