超越"PPG":共同制作和包容健康
Helen Rosemary McGeown1, Lucy Potter1, Tracey Stone1
1University of Bristol.
概括
在初级保健中共同生产可以赋予弱势患者权力. 真正的协作需要资源,社区伙伴关系和熟练的促进,以改善卫生服务和解决不平等问题.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者和公众参与.
- 健康上的不平等 卫生上的不平等
背景情况:
- 在医疗服务开发中,经常缺乏对患者观点,特别是来自弱势群体的有意义的纳入.
- 具有多种不利条件 (贫困,心理健康问题,成,无家可归,剥削) 和创伤经历的个人在参与医疗保健方面面临着独特的障碍.
研究的目的:
- 分享来自联合制作倡议的学习成果,旨在增强多重不利条件和经历创伤的个人对初级保健的体验.
- 探索联合生产模式在改善弱势群体医疗保健方面的潜力.
主要方法:
- 成立了一个联合制作集体"弥合差距",包括有实践经验的女性和专业人士 (研究人员,全科医生,第三部门代表).
- 通过采访 (n=9),小组会议观察 (n=3) 和反思笔记 (n=19) 收集了定性数据.
- 分析采用框架方法,以创伤信息护理原则为指导,以了解联合制作过程.
主要成果:
- 传统的患者参与小组 (PPG) 模型对具有多种缺点和创伤的个体提出了重大挑战.
- 有效的联合制作需要足够的资源,与社区组织建立强有力的伙伴关系,以及熟练管理群体动态和权力不平衡的促进者.
- 在适当的支持下,联合制作可以赋予参与者权力,并导致医疗服务的有形改善.
结论:
- 一般医生,第三部门组织和其他实体之间的协作工作对于有效的医疗服务发展至关重要.
- 利用具有实践经验的个人的专业知识对于一般医生成功解决健康不平等至关重要.
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