在康沃尔郡试点实施社区卫生和福利工作者模式:实施和传播指南
John Tredinnick-Rowe1, Richard Byng2,3, Tamsyn Brown4
1Honorary Senior Research Fellow, University of Exeter, University of Exeter Medical School, Exeter, TR10 8RD, UK. j.tredinnickrowe2@exeter.ac.uk.
社区卫生和福利工作者 (CHWW) 迅速融入现有的社会处方系统. 成功实施依赖于建立的关系和共享资源,尽管NHS系统整合存在挑战.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 社区参与 社区参与
背景情况:
- 评估一个试点计划,在康沃尔的四个地点引入十名社区健康和福利工作者 (CHWW).
- 该研究期为2022年6月至2023年6月,涵盖了初级保健网络 (PCN) 和志愿部门社区组织 (VSCO) 内的项目设置和实施.
研究的目的:
- 评估实施CHWW角色的障碍和推动因素.
- 捕捉在项目设置和实施阶段学到的经验教训.
- 了解CHWW在现有的医疗保健和社区结构中的整合.
主要方法:
- 通过半结构面试和聚焦小组与十个CHWW及其经理 (n=16) 进行定性数据收集.
- 对成绩单进行主题分析,以确定跨界和特定地点的主题.
- 在已建立的社会处方 (SP) 系统中对实施情况的评估.
主要成果:
- 通过先前存在的关系和与现有的社会处方者 (SP) 相似的角色结构,促进了快速实施.
- 共同培训,办公空间和CHWW和SP之间的重叠会议时间表促进了共同投入和协同作用.
- 关键的挑战包括将VSCO员工整合到NHS系统中,并通过NHS官僚机构进行采购,尽管有改善数据访问等好处.
结论:
- 该CHWW试点项目展示了成功的整合,利用现有的基础设施和合作关系.
- 该计划的成功导致扩展到全国其他综合护理领域.
- 计划在未来几年进一步推广和评估,表明一个可扩展的模型.
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