综合护理中分布式领导力的定性研究:探讨老年多病患者与GP合作的经验
Harald Braut1, Marianne Storm2, Aslaug Mikkelsen1
1University of Stavanger Business School, University of Stavanger, Stavanger, Norway.
Journal of multidisciplinary healthcare
|November 2, 2023
概括
老年患者和全科医生之间的合作是综合护理的关键,但目前的系统阻碍了患者参与和领导. 加强集体流程和全科医生参与对于更好的医疗保健体验至关重要.
科学领域:
- 医疗保健管理的管理
- 老年学是一门学科.
- 主要护理是指初级护理.
背景情况:
- 老年多病症患者需要综合护理才能有效管理.
- 一般医生 (GPs) 在协调患者护理方面发挥着关键作用.
- 市政府在提供真正综合的医疗保健服务方面面临挑战.
研究的目的:
- 探索老年多病症患者和全科医生之间的合作,以实现综合护理.
- 调查市政整合机制是否反映了分布式领导.
- 在综合护理的背景下,了解患者和GP的经验.
主要方法:
- 使用主题分析进行定性研究.
- 与20名老年多病症患者及其全科医生进行了半结构面试.
- 适用指导,调整和承诺 (DAC) 框架.
主要成果:
- 患者发现集体医疗保健过程难以访问和影响.
- 综合护理的领导力是流动的,取决于患者及其状况.
- 医疗保健服务的实施因时间,地理和组织而分散.
- 患者认为医疗保健工作者是专业的,缺乏对集体目标的整体支持.
结论:
- 医疗机构需要改善集体流程,以促进患者参与综合护理.
- 分布式领导需要加强患者参与和更清晰的组织结构.
- 一般医生和医疗人员应该在解决老年多病患者的需求方面发挥更重要的作用.
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