解决新西兰奥特亚罗亚的一般实践中封闭和有限的招生问题:一种混合方法研究
Nisa Mohan1, Maite Irurzun-Lopez1, Megan Pledger1
1Te Hikuwai Rangahau Hauora | Health Services Research Centre, Te Wāhanga Tātai Hauora | Wellington Faculty of Health, Te Herenga Waka-Victoria University of Wellington.
The New Zealand medical journal
|July 18, 2024
概括
新西兰奥特亚罗亚新西兰的全科医院由于劳动力短缺和资金问题,正在关闭新患者的书籍. 这限制了获得初级保健的机会,使健康状况恶化,并迫切需要改变政策.
科学领域:
- 初级医疗保健是一项主要的医疗保健.
- 一般实践管理的管理.
- 健康劳动力研究 卫生劳动力研究
背景情况:
- 新西兰奥特亚罗亚州的全科医院越来越多地关闭了他们的病人名单 ("书").
- 这种现象显著影响了患者获得基本初级保健服务的机会.
- 了解驱动因素和后果对于保持医疗保健的可访问性至关重要.
研究的目的:
- 调查奥特罗亚新西兰关闭通用诊所的主要原因.
- 为了确定受限患者入学的健康和社会影响.
- 提出可行的建议,以减轻这些问题.
主要方法:
- 一项混合方法研究,结合了与初级保健专家和一般实践人员的定性访谈.
- 进行了一项全国性的一般实践调查.
- 定性数据分析采用了一般的诱导方法.
主要成果:
- 关键的驱动因素包括劳动力短缺,高工作负载,员工倦怠,资金赤字,质量问题和空间限制,这些问题因COVID-19大流行而加剧.
- 影响包括减少或延迟获得初级保健,恶化的健康状况,未被诊断的疾病和减少的预防护理.
- 建议重点关注劳动力扩张 (包括行政角色),解决工资不平等问题,扩大学生实习时间,利用多学科团队和资金改革.
结论:
- 迫切需要进行系统性变革,以解决导致关闭的一般实践的因素.
- 确保一般实践可以接受所有患者对于在新西兰的公平医疗保健获得至关重要.
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