用SCIROCCO交换工具测量新加坡综合护理的成熟度
Angeline Woon Kee Lim1,2, Clive Tan1,3, Jason Chin Huat Yap1
1Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
International journal of integrated care
|October 7, 2024
概括
新加坡新加坡新加坡新加坡
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于人口快速老龄化,新加坡面临越来越多的社会医疗保健需求.
- 在过去的十年中,患有多种复杂医疗需求的老年人比例几乎翻了一番,这突显了关键护理方面的挑战.
研究的目的:
- 评估新加坡综合护理的成熟程度.
- 通过使用SCIROCCO交换工具,识别综合护理提供的主要缺口.
- 讨论这些差距对未来社会医疗保健策略的影响.
主要方法:
- 一项三步混合方法的德尔菲研究,涉及社会卫生保健部门专家和公共卫生保健代表.
- 使用了SCIROCCO交换工具,具有12个维度,在六点顺序尺度上进行评分.
- 采用RAND UCLA的适当性标准和数据解释的专题分析.
主要成果:
- 五个维度处于"初始"成熟度水平,五个维度处于"进展".
- 由于专家观点的分歧,两个维度是"不确定的".
- 缺乏对综合护理的系统方法是所有维度中普遍存在的子主题.
结论:
- 重塑社会医疗保健提供需要关注结构,治理和公民赋权等基础维度.
- 新加坡更健康的SG初级保健改革 (2023年7月推出) 可能会影响未来的综合保健成熟度.
- 建议进行进一步的研究,以评估Healthier SG对综合护理发展的影响.
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