通过以患者和过程为导向的单位在医院的多学科合作:一个纵向研究
Anoek Braam1, Jeroen van Wijngaarden1, Carina Hilders1,2
1Health Services, Management, & Organization, Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Netherlands.
Journal of multidisciplinary healthcare
|July 16, 2024
概括
医院中以患者为导向的单位比以过程为导向的单位更加强多学科合作和感知影响. 这种重新设计通过提高团队合作和效率来支持更好的患者护理.
科学领域:
- 医疗保健管理的管理
- 组织设计 组织设计
- 医疗合作 医疗合作
背景情况:
- 随着医疗保健复杂性和多病症的增加,需要加强多学科合作.
- 传统的医院结构阻碍了有效的团队合作,促使人们转向创新的设计.
- 欧洲医院正在采用以过程为基础的设计,以患者和过程为导向的单位来促进协作.
研究的目的:
- 评估以患者和过程为导向的单位对多学科合作的影响.
- 评估这些单位对感知效率,创新和有效性的影响.
- 为了确定患者和过程导向单位之间的结果差异.
主要方法:
- 一项基于调查的纵向评估研究,于2020年和2022年进行.
- 荷兰一家医院的医生接受了多学科合作 (关系协调) 和感知影响的调查.
- 来自开放式问题的定性数据被用来丰富定量发现.
主要成果:
- 面向患者的单位的医生报告了多学科合作的增加和随着时间的推移更高的感知影响.
- 过程导向单位的医生表现出改善的关系,但没有感知到同样的影响程度.
- 面向患者的单位在感知效率,创新和有效性方面表现出更大的好处.
结论:
- 基于过程的医院设计,特别是以患者为导向的单位,支持多学科合作和感知影响.
- 面向患者的单位的医生发现重新设计有利于多学科的患者护理.
- 虽然以流程为导向的单位可以改善医生关系,但它们对护理质量的积极影响可能不那么明显.
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