从多专业的前线角度探索组织支持,以应用在病假和康复过程中的最佳实践:一项定性研究
Märit Löfgren1,2, Daniel Gyllenhammar3, Dominique Hange4,5,6
1Primary Health Care/School of Public Health and Community Medicine/Institute of Medicine, University of Gothenburg Sahlgrenska Academy, Göteborg, Sweden marit.lofgren@allmed.gu.se.
前线员工在病假和康复过程中 (SRP) 面临着不充分的组织支持,导致患者护理的不平等. 需要改进,以确保个性化护理和更好的患者结果.
科学领域:
- 医疗保健管理的管理
- 初级保健研究研究初级保健研究
- 康复服务 康复服务
背景情况:
- 前线医疗保健专业人员需要适当的组织支持来实施最佳实践.
- 病假和康复过程 (SRP) 涉及多个利益相关者和复杂的患者需求.
研究的目的:
- 探索前线员工的经验,并提供组织支持,在SRP中应用最佳实践.
- 在SRP中识别有效的患者护理障碍和促进者的障碍.
主要方法:
- 在初级卫生保健机构使用焦点小组采访进行的定性研究.
- 有目的的抽样包括全科医生,康复协调员,其他初级保健专业人员以及社会保险/就业/社会服务案例工作者.
主要成果:
- 由于组织的先决条件不足,员工的善意不足,导致实践变化和相互矛盾的信息.
- 患者经历了失去控制,不匹配的支持,法律不确定性和错误应用的病假造成的潜在伤害.
- 忽视患者护理中的非医疗因素是一个重大问题.
结论:
- 现有的指导方针和法规尚未完全实现SRP中预期的目的.
- 目前的SRP阻碍了个性化护理,可能会恶化患者的福祉和能力.
- 存在显著的机会来提高SRP的质量和有效性.
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