初级保健机构的转型,实施基于团队的共定位护理模式:一个范围审查
Yasmine Frikha1,2, Andrew R Freeman3,4, Nancy Côté2,5
1Faculty of Graduate and Post-Doctoral Studies, Université Laval , Québec, Canada.
BMC health services research
|August 4, 2024
概括
加拿大初级保健改革实施了以团队为基础的护理模式,以提高患者获得和综合服务的机会. 虽然模型通常符合患者和提供者的期望,但经济影响很少被评估,这阻碍了通用指南的制定.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 卫生政策和管理卫生政策和管理
背景情况:
- 加拿大初级保健改革引入了各种基于团队的护理模式.
- 这些模型旨在改善患者的准入和护理的全面性.
- 尽管进行了这些改革,但仍然存在挑战.
研究的目的:
- 在加拿大初级保健中对以团队为基础的护理模式进行范围审查.
- 探索这些模型的功能,上下文因素和影响.
- 了解它们对患者,提供者和医疗保健成本的影响.
主要方法:
- 在Medline和CINAHL数据库中进行了搜索.
- 包括与家庭医生和指定的专业人员共享的模型.
- 分析了组织,协调,背景和对人口,提供者和成本的影响.
主要成果:
- 从5952项研究中选择了15篇文章,显示了不同的术语和操作.
- 模型与患者的医疗家庭愿景保持一致,重点关注心理健康和慢性疾病.
- 患者和提供者期望通常得到满足,但经济评估很少.
结论:
- 缺乏总体观点阻碍了有效的以团队为基础的模型的通用准则.
- 实施的复杂性需要合作的利益相关者方法,包括患者.
- 为特定人群和专业包容性量身定制模型至关重要.
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