与北克独立患者的初级保健接入点 (GAP) 相关的组织创新:多个案例定性研究
Mylaine Breton1, Véronique Deslauriers2, Catherine Lamoureux-Lamarche2
1Department of Community Health Sciences, Université de Sherbrooke, Campus de Longueuil, Longueuil, QC, Canada. mylaine.breton@usherbrooke.ca.
BMC primary care
|October 12, 2024
概括
在北克省,五项本地创新改善了单身患者获得初级保健的机会. 这些组织变化,包括专门诊所和移动服务,在等待附着时增强了患者的导航.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级医疗保健创新 创新的初级医疗保健
- 质量健康研究 质量健康研究
背景情况:
- 初级护理的依附对于健康系统的强大至关重要.
- 集中等待列表 (CWL) 和初级保健接入点 (GAP) 旨在将独立的患者与提供者联系起来.
- 北克的当地卫生地区开发了独特的创新来补充GAP.
研究的目的:
- 描述当地实施的五种不同的组织创新,以改善独立患者的访问.
- 记录旨在加强北克初级保健接入点 (GAP) 开发的互补策略.
主要方法:
- 在四个北克卫生区进行了一项多病例定性研究.
- 与医疗保健专业人员和工作人员进行了52次半结构化采访.
- 使用NVivo软件和逻辑模型进行的主题分析来描述创新.
主要成果:
- 确定了五项创新:一个多学科的心理健康诊所,一个由护士领导的慢性疾病诊所,一个有护理人员和护士参与的移动临近诊所,一个由药剂师领导的患者途径,以及一个具有亲临护理护理的去中心化GAP.
- 这些创新解决了患者的特定需求,包括心理健康,慢性疾病管理,以及立即获得护理的独立个人.
结论:
- 描述的创新为其他寻求改善独立患者获得初级保健的地区提供了有价值的见解.
- 实施GAP和这些组织创新意味着向更灵活地获得初级保健的转变,而不仅仅取决于患者的附加状态.
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