建立以团队为基础的初级保健:学术-社区网络合作伙伴关系的教训
概括
学术-社区伙伴关系改善了初级保健实践中以团队为基础的护理,为弱势群体提供服务. 基于证据的支持可衡量地增强了护理团队的功能,特别是人口管理和患者参与.
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
- 基于团队的护理实施方案
背景情况:
- 基于团队的护理对于高质量的医疗保健至关重要.
- 过渡到以团队为基础的护理需要显著的过程变化.
研究的目的:
- 实施和评估一个学术-社区伙伴关系.
- 改善弱势群体在初级保健机构的团队式护理.
- 使用了结构化变革包和实施支持.
主要方法:
- 开发了一个由六个战略组成的结构性变革包.
- 设计了全面的实施支持.
- 通过每两年一次的评估表来评估进展.
主要成果:
- 实践表明,所有护理团队功能都得到了改善.
- 在人口管理方面观察到显著的收益.
- 在计划护理和患者入组方面也出现了改善.
结论:
- 学术-社区伙伴关系可以有效地改善以团队为基础的护理.
- 基于证据的实践支持产量可衡量的改善.
- 弱势群体从增强的初级保健团队功能中受益.
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