以不同的方式对待初级保健中的合作:探索边界和边界对象.
1University of British Columbia, Kelowna, British Columbia, Canada.
Healthcare management forum
|August 13, 2024
概括
这项研究探讨了初级保健中的合作,通过检查过程,而不仅仅是结果. 了解不断变化的边界和边界对象提供了新的方法来改善基于团队的护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 组织研究 组织研究
- 主要护理政策 基本护理政策
背景情况:
- 当前的初级保健政策往往通过其结果来定义合作 (例如,以团队为基础的护理),这很难实现.
- 这种以结果为重点的方法在实践中实现有效协作方面带来了挑战.
研究的目的:
- 介绍构建边界和边界对象的概念,以分析初级保健中的协作过程.
- 通过专注于过程本身,为了解和改善协作提供一个新的视角.
主要方法:
- 采用了包括半结构面试和话语分析在内的定性方法.
- 使用会员检查进行数据验证.
- 在英属哥伦比亚内陆的早期COVID-19大流行期间,比较了三个时间段的初级保健合作.
主要成果:
- 分析显示,边界和边界对象的性质随着时间的推移而发生动态变化.
- 这些变化为合作过程的复杂性提供了重要的见解.
结论:
- 该研究提出了以过程为导向的协作方法,利用边界和边界对象概念.
- 对协作过程的更深入的理解可能会导致在初级保健机构中加强协作成果.
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