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边界系统:一项定性研究,探讨了加拿大多伦多紧急青年庇护所系统和加拿大多伦多卫生系统之间的医疗协调
Alzahra Hudani1, Kaitlin Schwan2, Ronald Labonté3
1Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
紧急青年避难所 (EYS) 和卫生系统经常在孤岛工作,导致对无家可归的年轻人 (YEH) 的护理分散. 这项研究强调了需要更好地协调这些系统,以改善年轻人计划的健康结果.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 社会工作 社会工作 社会工作
背景情况:
- 多伦多的无家可归青年 (YEH) 面临着不协调的医疗保健的挑战.
- 紧急青年避难所 (EYS) 和卫生系统分离运作,阻碍了有效的护理协调.
- 系统思维方法对于理解和改善年轻人计划的医疗保健协调至关重要.
研究的目的:
- 分析EYS和卫生系统在协调健康保健方面的结构性和功能性作用.
- 通过转型性系统变革的框架,确定如何加强医疗保健协调.
主要方法:
- 分析了46份文件和24份半结构面试.
- 不断进行比较分析,以了解系统层,利基,组织和参与者.
- 探索 YEH 中和 EYS 和卫生系统之间的医疗保健协调.
主要成果:
- 对于年轻人保健保健协调,EYS和卫生系统有不同的任务,层次和组织.
- 多个政府,研究和社区的努力旨在改善协调,其中一些系统重叠.
- 与卫生系统工作人员相比,EYS工作人员更积极地参与YEH的护理协调.
结论:
- 在EYS和医疗系统中,一个复杂的组织和参与者网络独立和协作地为年轻人保健工作.
- 目前正在进行的努力集中在弥合系统性差距,以加强医疗保健协调和改善青年健康结果.
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