共同设计成人体重管理服务:一项定性研究探讨了障碍,促进者和考虑未来委托的考虑因素
Rebecca Langford1,2, Rowan Brockman3,4, Jonathan Banks3,4
1The National Institute for Health and Care Research Applied Research Collaboration West (NIHR ARC West), University Hospitals Bristol and Weston NHS Foundation Trust, 9th Floor, Whitefriars, Lewins Mead, BS1 2NT, Bristol, UK. beki.langford@bristol.ac.uk.
BMC public health
|March 13, 2024
概括
与服务不足的群体共同设计体重管理服务可以减少健康不平等. 建立关系和确保稳定的资金是成功实施共同设计的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 体重管理服务往往无法到达贫困地区,少数群体,残疾人和男性,加剧了健康不平等.
- 与这些服务不足的群体共同设计服务是提高可访问性和有效性的策略.
- 本研究探讨了共同设计的成人体重管理服务的发展,确定了障碍和促进者.
研究的目的:
- 探索共同设计成人体重管理服务的过程.
- 识别在共同设计实施过程中遇到的障碍和促进因素.
- 了解共同设计对未来医疗服务调试的影响.
主要方法:
- 使用案例研究方法,检查了英格兰西南部的四个成人体重管理服务.
- 与18名参与者进行了采访,包括专员,服务提供商和参与共同设计的社区成员.
- 对面试成绩单进行了专题分析,以确定关键主题.
主要成果:
- 共同设计被认为是创造更合适的服务和增强参与的积极因素,可能减少不平等.
- 与社区和合作组织建立牢固的关系至关重要,但耗时.
- 挑战包括阻碍实施的组织约束 (时间,资金) 和破坏社区关系的不可预测的资金.
结论:
- 共同设计是医疗服务的有价值的方法,但在传统的委托结构中面临着挑战.
- 成功共同设计的关键考虑因素包括培养强大的关系,支持性的组织文化,以及开发强大的证据基础.
- 解决这些因素对于公平的医疗服务设计和调试至关重要.
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