加拿大的医疗保健过渡服务景观:多方法环境扫描
Lin Li1,2, Alice Kelen Soper3, Dayle McCauley3
1University of Toronto, Toronto, Canada. linl.li@utoronto.ca.
BMC health services research
|September 28, 2024
概括
在加拿大,对年轻人进行医疗保健过渡支持的差异很大. 需要一项国家战略,以确保为从儿科服务转向成人服务的年轻人提供一致,可访问的护理.
科学领域:
- 医疗保健过渡期的转变
- 儿童至成人护理服务.
- 医疗服务研究 医疗服务研究
背景情况:
- 缺乏支持的医疗保健转型对青年和家庭产生负面影响.
- 加拿大健康转型中心 (Transition Hub) 旨在了解加拿大各地的转型护理.
- 确定需要描述计划并确定过渡服务中的优势,障碍和缺口.
研究的目的:
- 描述支持加拿大的儿科到成人医疗保健过渡的计划和服务.
- 确定这些过渡服务的优势,障碍和缺口.
主要方法:
- 一项针对服务提供商的国家调查.
- 一项涉及半结构面试的定性描述性研究.
- 使用框架方法分析定性数据.
主要成果:
- 51项调查描述了加拿大9个省份的48个过渡计划.
- 节目在设置,年龄组服务和诊断重点方面有所不同.
- 采访揭示了衡量成功,计划优势,障碍,差距和改进策略的主题.
结论:
- 尽管有国家指南,但加拿大医疗保健过渡支持存在显著差异.
- 一个国家战略与当地领导层对于系统变革至关重要.
- 可持续和普遍可访问的过渡支持对青年和家庭至关重要.
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