形成联系的因素的元民族学,将工人对社会处方的经验联系起来
Amadea Turk1, Stephanie Tierney2, Bernie Hogan3
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. amadea.turk@phc.ox.ac.uk.
由于实施现实,工人面临角色紧张局势. 解决这些问题是可持续性和实现健康公平目标的关键.
科学领域:
- 公共卫生 公共卫生
- 健康的社会决定因素
- 医疗保健管理的管理
背景情况:
- 社会处方以整体的方式解决非医疗需求.
- 它将个人与社区资源联系起来.
- 链接工作者是英国初级保健的组成部分.
研究的目的:
- 发展对员工角色经验的理论理解.
- 综合关于社会处方实施的定性文献.
- 为链接工作者角色创建一个概念框架.
主要方法:
- 定性研究的元民族学证据综合.
- 在数据库和参考列表中进行系统的文献搜索.
- 遵守 eMERGe 报告指南.
主要成果:
- 开发了一个概念框架,突出了固有的紧张关系.
- 在政策和实施现实之间存在紧张关系.
- 这些紧张关系影响了角色的可持续性和结果.
结论:
- 角色紧张关系质疑社会处方的可持续性.
- 有效的角色定义,部署和培训至关重要.
- 对于弱势群体,可能需要基础设施支持和长期模型.
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