在七个英格兰初级保健网络中实施额外角色补偿计划:定性研究
Donna Bramwell1, Jonathan Hammond1, Lynsey Warwick-Giles1
1Centre for Primary Care and Health Services Research, University of Manchester, Manchester.
额外角色补偿计划 (ARRS) 通过资助新员工来支持一般做法. 成功实施需要解决运营需求,如空间,资金灵活性和员工支持,以改善患者的护理和访问.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗服务管理 医疗服务管理
- 质量健康研究 质量健康研究
背景情况:
- 英格兰的额外角色补偿计划 (ARRS) 资助初级保健网络 (PCN) 雇用额外的员工.
- 通过在2024年之前招聘26,000名员工,ARRS旨在支持一般实践,增加获取机会,并减少工作负载.
研究的目的:
- 在PCN开发中调查ARRS的建立.
- 了解ARRS在支持一般实践中的作用.
主要方法:
- 在英格兰七个不同的PCN进行长度定性案例研究.
- 数据收集:91个半结构面试和87个小时的会议观察 (从2020年7月到2022年3月).
- 采访和观察记录的框架方法分析.
主要成果:
- 跨站点实现可变的ARRS,共同关注,包括大流行对新角色和就业的影响.
- 主要挑战:为新员工提供空间,计划不灵活 (例如,基金再投资),需要员工支持/监督.
- 感知到的好处:增强患者护理和医生节省时间的潜力.
结论:
- ARRS显示了改善通用实践准入和支持的潜力.
- 实现ARRS潜力需要解决运营方面的问题:资金,遗产和人员管理.
- 对该计划未来的2024年后合同的明确性至关重要.
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