在初级保健中实施额外角色补偿计划的挑战和推动因素:定性研究
Bethan Jones1, Zoe Anchors1, Sarah Voss1
1Centre for Health and Clinical Research, University of the West of England Bristol, Bristol.
概括
额外角色补偿计划 (ARRS) 旨在增加初级保健人员,但面临实施挑战. 虽然员工感到有价值,但该计划的员工感到有价值.
科学领域:
- 初级保健 劳动力发展
- 医疗保健系统实施研究 医疗保健系统实施研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 额外角色补偿计划 (ARRS) 成立,到2024年招聘26,000名员工,以改善通用实践任命的机会.
- 尽管有其目标,但ARRS从业人员在初级保健机构的整合遇到了重大实施障碍.
研究的目的:
- 调查与实施ARRS相关的促进者和障碍.
- 评估ARRS对初级和二级医疗保健系统的影响.
主要方法:
- 一项定性研究,涉及与37名ARRS专业人员和三个英语综合护理系统的关键利益相关者进行半结构化访谈.
- 框架分析用于分析转录的访谈数据,直到数据和.
主要成果:
- 10个类别出现了:三个成功 (重视员工,定义角色,培训支持) 和七个挑战 (灵活性,员工可持续性,范围管理,监督,基础设施,系统影响,员工紧张).
- 工作人员表示,他们感到有价值,但该计划主要扩大了专业知识,而不是像预期的那样减少全科医生 (GP) 的工作量.
- 该计划的不灵活性特别影响了贫困地区的初级保健网络 (PCN),可能加剧了健康不平等.
结论:
- ARRS扩大了初级保健专业知识,但没有像预期的那样减轻GP负担.
- 在ARRS中的不灵活性可能会加剧服务不足地区的健康不平等.
- 建议侧重于优化实施,需要进一步研究行政角色,健康不平等和员工福利.
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