在农村和偏远地区建立一个学习的医疗保健社区:系统审查
Shabnam Asghari1, Jennifer Bent2, Ali Modir2
1Department of Family Medicine, Faculty of Medicine, Newfoundland and Labrador, Centre for Rural Health Studies, Memorial University of Newfoundland, 300 Prince Philip Dr, St. John's, NL, A1B 3V6, Canada. sasghari@mun.ca.
在农村地区建立一个学习医疗保健社区 (LHCC) 需要克服资金和招聘障碍. 有意义的利益相关者参与和合作是成功实现农村卫生转型的关键推动因素.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 基于社区的参与式研究
- 农村卫生 农村卫生
背景情况:
- 学习医疗保健社区 (LHCC) 是通过系统和社区之间的相互问责制来改善医疗保健的框架.
- 关键组成部分包括数据基础设施,护理改进目标,支持性政策和社区参与.
- 低质量公共交通涉及多种利益相关者,以确定需求并实施基于证据的解决方案.
研究的目的:
- 系统地审查和总结在农村环境中建立LHCC的障碍和推动因素.
- 确定影响LHCC在农村医疗保健中成功实施的因素.
主要方法:
- 进行了电子数据库的系统审查.
- 研究团队定义了资格标准,两位作者独立进行了选.
- 定性分析确定了与农村LHCC相关的核心主题.
主要成果:
- 在8169篇文章中,有25篇符合审查条件.
- LHCC的目标是加强合作,整合社区反,并促进信息共享.
- 主要障碍包括确保资金和招募参与者;推动者是利益相关者的参与和合作.
结论:
- 临床医疗中心利用健康数据,为从业者和社区成员提供知情决策.
- 它们弥合了知识生成和应用之间的差距,改变了农村医疗保健的提供.
- 农村LHCC的成功实施取决于解决已识别的障碍,并利用促进因素.
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