加拿大北克省跨专业初级保健团队组织类型的开发:多变量分析
Maria Alejandra Rodriguez-Duarte1, Pamela Fernainy2, Lise Gauvin3
1School of Public Health, Université de Montréal, Montreal Canada; Department of Family Medicine McGill University, Montreal, Canada.
Health policy (Amsterdam, Netherlands)
|December 5, 2024
概括
北克省的专业间初级保健 (IPC) 团队可以分为五个不同的组织配置文件. 这些配置文件与他们所服务的人群的特定需求相关,有助于更好地评估IPC有效性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 组织研究 组织研究
背景情况:
- 跨专业初级保健 (IPC) 团队对于提供综合医疗保健服务至关重要.
- 了解IPC团队的组织结构对于优化其功能至关重要.
- 加拿大北克省拥有多样化的IPC团队,需要进行分类.
研究的目的:
- 为北克省的专业间初级保健 (IPC) 团队开发一个组织类型.
- 描述这些IPC团队的组织概况.
- 评估服务人口特征与IPC团队组织概况之间的关系.
主要方法:
- 一项跨部门研究利用了2021年北克省卫生和社会服务部的财务数据.
- 有限混合模型应用于北克368个IPC团队的人口.
- 多项逻辑回归分析了人口人口统计和组织个人资料之间的关联.
主要成果:
- IPC团队表现出显著的异质性,形成了基于规模,组成,部门,类型和伙伴关系水平的五个不同的组织配置文件.
- 特定的患者群体,包括孕妇,弱势群体和家庭护理接受者,更有可能与中等,公共,大学附属,以实践者为导向,低合作伙伴概况相关.
- 与非常小的,私人的,定期的,高合作伙伴的个人资料相比,农村患者的这种概率较低.
结论:
- 在北克省,已经确定了五个不同的职业间初级保健 (IPC) 团队的组织配置文件.
- 这些概况显示出与团队服务的群体特征的明显关联.
- 结果可以为IPC团队绩效的评估和实现所需的医疗保健结果提供信息.
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