现实世界中的弹性医疗保健表现:解决从未发生过的问题
Jeffrey Braithwaite1,2, Kate Churruca3, Louise A Ellis3
1Centre for Healthcare Resilience and Implementation Science, Faculty of Medicine, Health and Human Sciences, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia. jeffrey.braithwaite@mq.edu.au.
BMC health services research
|October 17, 2024
概括
卫生系统工作人员表现出了显著的性和适应能力,经常在医疗服务的前线解决问题. 了解这些日常即兴化是有效改善卫生系统和变革管理的关键.
科学领域:
- 卫生系统研究 卫生系统研究
- 组织行为 组织行为
- 卫生社会学 卫生社会学
背景情况:
- 全球范围内,医疗保健专业人员表现出了显著的灵活性和即兴化技能,特别是在COVID-19大流行期间.
- 在疫情引发的环境之外检查弹性行为为改善卫生系统和研究提供了宝贵的见解.
研究的目的:
- 综合和评估八个国际案例研究在医疗保健机构的现场弹性表现.
- 了解一线医疗保健工作人员的适应能力和解决问题的策略.
主要方法:
- 综合了来自不同国家的八个不同案例研究 (加拿大,瑞典,日本,比利时,英国,挪威,美国,巴西).
- 根据应对危机的反应能力,随着时间的推移的适应能力,地方政策的采用和干预结果来对案件进行分类.
主要成果:
- 案例研究突出了研究人员在研究医疗保健弹性方面的聪明才智.
- 前线工作人员表现出创造力和适应能力,预测和解决挑战,以确保在资源限制和政策变化中持续照顾患者.
结论:
- 通过检查护理的"尖端",即临床医生管理日常工作和解决问题,才能更好地理解有效的卫生系统变革.
- 街头层面的参与者,而不是自上而下的管理,是医疗保健系统变革和问题解决的关键推动者.
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