荷兰医疗保健中的问责制:范围审查
Dennis R Van Kerkvoorden1, Roelof G A Ettema2, Mirella M N Minkman3
1Master of Integrated Care, University of Applied Sciences Utrecht, Utrecht, The Netherlands.
在综合医疗保健网络中探索问责制对于以人为中心的护理至关重要. 本范围审查审查了荷兰的现行实践,发现了网络问责制的有限但新兴模式.
科学领域:
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
- 组织研究 组织研究
背景情况:
- 转向以人为中心的综合护理需要强有力的组织间合作.
- 有效的医疗治理需要了解这些网络内的适当的问责制方法.
- 荷兰为研究医疗保健问责制提供了一个相关的背景,因为它的系统在不断发展.
研究的目的:
- 对荷兰医疗保健中的问责制知识和实践现状进行范围审查.
- 确定适合在综合护理机构内的当地组织间医疗管理的问责制方法.
- 为促进关于综合护理治理问责制的国际话语做出贡献.
主要方法:
- 使用范围审查方法来系统地检查现有文献.
- 审查的重点是与荷兰医疗保健系统中的问责制相关的研究.
- 分析了包括的研究,以确定综合护理中的问责制特征.
主要成果:
- 在41项审查的研究中,只有两项在综合护理组件中证明了问责制的特征.
- 这些研究强调了服务与相关的问责制安排的整合.
- 在文献中确定了网络问责制的新兴模型.
结论:
- 在荷兰,关于综合护理中的问责制的文献正在芽,但越来越多.
- 目前的实践显示了有限但正在发展的网络问责制支持综合护理的例子.
- 需要进一步的研究,才能充分理解和实施综合医疗治理的有效问责机制.
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