将土著助产士纳入全面的初级保健机构.
Cecilia Benoit1, Andrea Mellor1, Brett Koenig1
1Canadian Institute for Substance Use Research, Victoria, British Columbia, Canada.
Healthcare management forum
|August 28, 2024
概括
加拿大助产士正在扩大其在初级保健方面的服务,提供性健康和围产支持. 在不列颠哥伦比亚省的一个试点项目突出了好处和挑战,特别是为服务于年轻人的土著助产士.
科学领域:
- 公共卫生 公共卫生
- 医疗保健政策 医疗保健政策
- 土著健康土著健康
背景情况:
- 加拿大的助产士实践历来面临着重大限制,限制了获得性健康和产前护理的机会.
- 虽然爱德华王子岛在2024年取消了禁令,但大多数加拿大司法管辖区仍然限制了助产士实践的全部范围.
- 加拿大助产监管委员会倡导扩大助产士的执业范围.
研究的目的:
- 评估将全方位助产整合到不列颠哥伦比亚省维多利亚的一个初级医疗保健诊所.
- 确定将助产服务纳入初级保健机构的好处和持续挑战.
- 突出土著注册助产士对初级保健和青年健康结果的独特贡献.
主要方法:
- 从2023年至2024年,在不列颠哥伦比亚省维多利亚州实施了一项助产员试点项目,允许全面开展实践.
- 专注于专业间的协作和初级医疗保健团队内的合作.
- 分析土著注册助产士的专业文化和临床技能.
主要成果:
- 将助产士纳入初级医疗保健机构的证明好处.
- 确定了确保助产士及其团队长期有薪就业的持续挑战.
- 展示了土著助产士在青少年客户的初级保健方面的专业知识的积极影响.
结论:
- 将全方位的助产士整合到初级保健中,为患者的护理提供了显著的优势,特别是对年轻人来说.
- 解决雇佣就业的系统性障碍对于助产服务的可持续性至关重要.
- 原住民注册助产士的专业技能对于改善不同人群的健康结果至关重要.
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