改善严重和多重不利的人员和与他们一起获得通用实践的机会:一种定性研究
Lucy C Potter1, Tracey Stone2, Julie Swede3
1Centre for Academic Primary Care, Bristol Medical School, University of Bristol, Bristol.
概括
合作会议改善了严重和多重劣势 (SMD) 个人的初级保健准入. 共同设计的战略增强了医疗保健连接,并为这个弱势群体提供了公平.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级医疗保健医学 一级医疗保健医学
- 健康的社会决定因素
背景情况:
- 严重多重不利 (SMD) 的人面临着重大的健康需求和获得初级保健的障碍.
- 这些挑战往往源于无家可归,药物滥用,暴力,虐待和心理健康不佳的结合.
研究的目的:
- 为了提高严重和多重不利 (SMD) 的人的通用实践可访问性.
- 通过促进与医疗人员,有SMD实践经验的个人和支持人员参与的协作服务改进会议来实现这一目标.
主要方法:
- 采用了联合制作的方法,涉及一个被称为弥合差距小组的合作.
- 在三个一般实践中举行了服务改进会议,进行了观察,采访和聚焦小组.
- 专题分析用于数据分析.
主要成果:
- 实施了共同设计的战略,包括灵活的访问,护理协调和改进的信息共享.
- 这些变化旨在改善SMD患者的访问.
- 该倡议加强了一般实践,支持组织和具有实践经验的个人之间的联系.
结论:
- 共同设计的策略提供了一个可转移的模型,用于改善服务不足的人群的医疗保健可获得性.
- 这种专注的方法有可能促进健康公平,提高员工福祉.
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