在初级保健中高绩效的小团队:定性比较分析
Melinda A Chen1, Claude Rubinson2, Eloise M O'Donnell2
1From the Division of Health Policy & Economics, Department of Population Health Sciences, Weill Cornell Medical College (MAC, EMO, LPC), Division of General Internal Medicine, Department of Medicine, University of California, San Diego (MAC), Department of Social Sciences, University of Houston - Downtown (CR), Comparative Health Outcomes, Policy and Economics Institute, Department of Pharmacy, University of Washington (JL), Department of Family Community Medicine, University of California, San Francisco (TB). mec2015@med.cornell.edu.
高绩效的初级保健小组的特点是积极主动的员工和医生信任. 这些因素是减少急诊室访问和住院的关键,改善患者护理.
科学领域:
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
- 基于团队的护理团队
背景情况:
- 协作护理模式对于改善患者的治疗结果至关重要.
- 团队小组模型,将初级保健临床医生与一致的员工配对,是关键的协作方法.
研究的目的:
- 确定高绩效的初级保健小组的特征.
- 通过 ambulatory care sensitive emergency department (ACSED) 访问和 ambulatory care sensitive hospital admissions (ACSAs) 的低率来定义高绩效的小团队.
主要方法:
- 使用了定性比较分析 (QCA).
- 在13个小团队中,与医生和工作人员进行了26次定性采访.
主要成果:
- 员工在预测医生需求方面的积极性是关键特征.
- 医生报告的对工作人员的信任也经常在高绩效的小团队中观察到.
结论:
- 对医生的信任和工作人员的积极性对于高绩效的初级保健小组至关重要.
- 需要进一步的研究来探索这些和其他影响小队员表现的特征.
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