苏格兰的初级保健转型:一般医生和多学科团队成员的观点的定性研究
Eddie Donaghy1, Huayi Huang1, David Henderson1
1Usher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.
概括
苏格兰的初级保健多学科团队 (MDT) 的扩大受到全科医生的欢迎,但重大挑战阻碍了有效实施. 解决这些问题对于改变初级保健服务至关重要.
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
- 公共卫生政策 公共卫生政策
背景情况:
- 苏格兰政府的目标是通过扩大初级保健多学科团队 (MDT) 来改变初级保健.
- 这一扩张在2018年4月的新通用实践 (GP) 合同中得到了正式的形式.
研究的目的:
- 探索医疗保健从业人员对MDT在苏格兰工作的扩展的看法.
- 确定影响MDT在初级保健中的整合的挑战和促进者.
主要方法:
- 一项涉及深入,半结构化的电话采访的定性研究.
- 与8名全科医生 (GP) 和19名MDT工作人员在苏格兰三个不同的人口环境中进行.
- 专题分析被用来识别共同的主题和从业者经验的变化.
主要成果:
- 实践者报告了内部挑战,包括适应初级保健步伐,建立关系,培训需求和管理问题.
- 外部挑战包括COVID-19大流行影响,时间限制,混合工作困难和员工士气低落.
- 一般医生指出,由于工作量没有减少,医疗专家的角色没有扩大;贫困地区面临复杂多病症的资源短缺,而农村地区则提到招聘和住宿问题.
结论:
- 虽然全科医生在很大程度上欢迎初级保健MDT的扩大,但仍存在重大实施挑战.
- 解决这些多方面的挑战对于实现苏格兰初级保健的预期转型至关重要.
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