对家庭医生团队有效性的影响机制分析:一种混合方法方法
Anning He1, Zhimin Guo1, Tao Zhang1
1School of Public Health, Hangzhou Normal University, No. 2318 Yuhang Tang Road, Cangqian Street, Yuhang District, Hangzhou, Zhejiang 311121, China.
概括
优化家庭医生团队的有效性包括提高团队组成,目标和合作态度. 专注于团队流程和成员动机可以提高医疗保健的质量和效率.
科学领域:
- 医疗保健管理的管理
- 团队动力学 团队动力学
- 主要护理是指初级护理.
背景情况:
- 基于团队的家庭医生服务改善了患者的治疗结果和医疗保健效率.
- 家庭医生团队的有效性 (FDTE) 对服务质量和效率至关重要.
- 了解FDTE的影响因素是提高初级保健服务的关键.
研究的目的:
- 探索影响家庭医生团队效率 (FDTE) 的途径和机制.
- 提出改善FDTE和整体医疗保健服务质量的战略.
- 提高团队效率和签约家庭医生服务的效率.
主要方法:
- 使用文献综述,采访,专家咨询和基于输入-中介-输出-输入模型的问卷调查.
- 员工分层随机抽样,用于向中国江省的家庭医生分发问卷.
- 应用等级线性回归和结构方程建模 (SEM) 来分析FDTE及其决定因素.
主要成果:
- 影响FDTE的关键因素包括团队组成,目标和系统,合作态度,团队行为过程和团队情感过程.
- SEM分析表明,团队投入因素,成员投入因素和团队行为过程对团队的有效性有直接和间接的影响.
- 团队情感过程对团队的有效性产生了直接影响,突出了其重要性.
结论:
- 建议包括优化基础团队投入和增强成员内在动机.
- 促进积极的团队互动,合作和支持的氛围至关重要.
- 战略性改进可以显著提高家庭医生团队的有效性和服务质量.
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