为老年人综合照顾做好准备:墨西哥的一项跨部门研究
Juan Pablo Gutierrez1, Arturo Avila-Avila2, Eduardo Sosa-Tinoco2
1Epidemiology and Public Health, Center for Policy, Population and Health Research, National Autonomous University of Mexico, Mexico City, MEX.
墨西哥大多数医疗保健工作者认为,老年人综合照顾 (ICOPE) 方法是可以实施的,但资源配置和外部因素对其成功构成关键障碍.
科学领域:
- 老年学是一门学科.
- 医疗保健系统研究 医疗保健系统研究
- 公共卫生政策 公共卫生政策
背景情况:
- 老年人综合护理 (ICOPE) 方法旨在改善老年人群的医疗保健.
- 墨西哥的医疗保健系统需要评估是否准备好采用新的护理模式.
研究的目的:
- 评估墨西哥医疗保健系统对实施老年人综合护理 (ICOPE) 方法的准备情况.
- 确定ICOPE融入现有医疗保健结构的障碍和促进因素.
主要方法:
- 一项涉及2473名医护人员的横截面研究.
- 使用了理解质量成功模型 (MUSIQ) 框架.
- 评估整个团队,微系统,基础设施,组织和外部环境维度的感知.
主要成果:
- 只有29%的人认为ICOPE可以在没有修改的情况下实施.
- 51%的人发现了上下文障碍,主要是资源重新分配和外部环境挑战.
- 很大一部分医疗保健工作者认为实施存在障碍.
结论:
- 尽管发现了上下文障碍,但ICOPE被认为已经准备好实施.
- 准备性评估有助于利益相关者和政策制定者在计划实施和监测方面.
- 将ICOPE与上下文因素结合在一起,对于成功的采用至关重要.
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