全国NHS扩展访问计划是否实现了其政策目标? 一个关于两个大规模扩展访问提供商的案例研究
Patrick Burch1, William Whittaker2, Peter Bower3
1PhD Fellow, Centre for Primary Care, University of Manchester, Manchester, UK.
在英格兰,延长访问预约加强了初级保健,但提供了不同的服务. 虽然对于简单的问题有效,但这些超实践模型在复杂的持续患者护理方面扎.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 医疗保健政策 医疗保健政策
背景情况:
- 英格兰NHS在2018年授权在正常时间之外扩大通用诊疗服务的访问权限.
- 该政策旨在改善患者的准入,特别是那些白天工作的人.
- 超实践级别的提供包括在不同的地点与不同的团队获得护理.
研究的目的:
- 检查超级实践扩展访问约会的运行情况.
- 评估政策的目标,即改善患者接入,是否得到了实现.
- 了解患者和提供者对扩展访问服务的体验.
主要方法:
- 两个对比的服务提供商的定性比较案例研究.
- 数据收集包括观察,采访员工和患者,以及对组织文件和预约数据的分析.
- 与数据收集同时进行了主题分析.
主要成果:
- 扩展接入服务被用来支持紧张的初级保健系统.
- 扩展访问提供了一个与传统的在小时内一般做法相比独特的服务.
- 在扩展访问模式中,提供无护理是具有挑战性的.
结论:
- 超实践访问模型可以有效地管理简单的患者问题.
- 这些模型对复杂的健康问题的持续管理提出了挑战.
- 扩大接入的整合和有效性需要进一步考虑复杂的护理需求.
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