揭开医疗保健网络中的协作治理动态:范围审查
Zakaria Belrhiti1,2,3, Maryam Bigdeli4, Aniss Lakhal2,5
1International School Mohammed VI of Public Health, Mohammed VI University of Sciences and Health (UM6SS), UM6SS - Anfa City : Bld Mohammed Taïeb Naciri, Commune Hay Hassani 82 403, Casablanca 20230, Morocco.
Health policy and planning
|February 1, 2024
概括
医疗保健网络 (HN) 旨在整合分散的护理,但面临着协作挑战. 有效的HN需要平衡的决策,信任和共同的承诺,以更好地提供医疗保健.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 组织研究 组织研究
- 公共卫生政策 公共卫生政策
背景情况:
- 在全球范围内,医疗保健系统面临着医院和初级保健部门之间的分裂.
- 医疗保健网络 (HN) 被制度化,以提高整合和效率.
- 低效的协作动态阻碍了HN的实施,导致决策延迟和缺乏信任.
研究的目的:
- 确定医疗保健网络中有效的组织间合作的基本过程.
- 确定触发这些协作过程的上下文条件.
- 探索在医疗保健网络中有效协作所面临的挑战和推动因素.
主要方法:
- 使用四个数据库 (PubMed,科学网,谷歌学者,Scopus) 和雪球进行了范围审查.
- 分析包括包括医院在内的37篇关于医疗保健网络的论文.
- 框架综合,由协作治理提供信息,指导数据提取和分析.
主要成果:
- 平衡自上而下的和自下而上的决策,正式程序和管理机构,刺激参与和所有权.
- 现有的法律框架在高度制度化的环境中促进了组织间的合作伙伴关系.
- 有效的HN业绩依赖于联合行动能力,信任,共同承诺,分布式领导,权力共享和互操作性.
结论:
- 提高HN的有效性需要更多的自下而上的决策,正式的治理和加强的信任关系.
- 医疗保健网络可以通过资源互惠,人员聚合和改善协调来解决复杂的医疗保健问题.
- 需要进行进一步的研究,以建立一致的证据,证明HN对健康结果和护理质量的影响.
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