农村社区为可持续的农村卫生系统提供以农村社区为中心的联合计划
Nerida Hyett1, Mandy Hutchinson2, Donna Doyle3
1Murray PHN, Monash University, La Trobe University, Bendigo, Victoria, Australia.
与社区利益相关者共同设计农村卫生模型,有效地产生了针对当地定制的战略,以改善卫生系统的可持续性. 这种方法侧重于劳动力,综合服务和创新的护理模式,以应对农村医疗保健的挑战.
科学领域:
- 农村卫生 农村卫生
- 卫生系统研究 卫生系统研究
- 基于社区的参与式研究
背景情况:
- 维持农村医疗保健服务面临系统性挑战.
- 农村社区为设计可持续健康模型提供了宝贵的见解.
- 在农村卫生中有效的共同设计的证据需要进一步发展.
研究的目的:
- 共同设计基于地方的,基于证据的农村健康模型.
- 提高当地卫生系统的可持续性.
- 引导实施有效的共同设计策略.
主要方法:
- 雇佣基于社区的参与性行动研究与共同设计和系统思维.
- 与医疗保健专业人员 (n=44) 和消费者/护理人员 (n=21) 进行了定性访谈.
- 利用在线调查进行反 (专业人士n=11,消费者/护理人员n=7) 和混合方法分析 (QUAL-quant).
主要成果:
- 确定了维多利亚农村地区的关键医疗保健优先事项,优势和挑战 (修改的莫纳什模型5).
- 制定了农村卫生系统可持续性战略,其三个支柱是:加强劳动力,综合卫生服务和创新的护理模式.
- 根据社区的优势和资源量身定制,生成与当地相关的健康模型.
结论:
- 以社区为中心的共同设计对于开发可持续的农村健康模型是有效的.
- 共同设计过程产生了当地定制的想法和潜在的健康模型.
- 调查结果为未来的农村卫生规划,实施和评估提供了基础.
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