英格兰的养老院和初级保健一起工作:一个多方法的定性研究
Krystal Warmoth1, Alex Aylward2, Claire Goodman3
1Senior Research Fellow, Centre for Research in Public Health and Community Care, University of Hertfordshire, Hatfield, UK.
Journal of health services research & policy
|December 13, 2024
概括
改善养老院和初级保健之间的合作需要专门的时间,人员和资金. 在现有成功的基础上,可以促进更好的关系,并确保对有复杂需求的老年人提供高质量,公平的护理.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 定性研究是指质量研究.
背景情况:
- 英格兰的私人养老院为有复杂健康需求的老年人提供最长期的护理.
- 养老院依赖于初级保健来获得医疗和专业医疗保健.
- 了解和改善护理家庭和初级保健工作关系对于服务提供至关重要.
研究的目的:
- 探索英格兰养老院和初级保健之间的工作关系.
- 为增强这些跨部门关系提供变革理论的信息.
- 确定支持老年护理有效合作的因素.
主要方法:
- 一个多方法的定性研究,使用欣赏性调查.
- 从调查,采访和研讨会中获得的数据进行主题分析.
- 涉及护理家庭工作人员,初级保健专业人员,家庭护理人员和社区专家.
主要成果:
- 促进角色理解,沟通和联合学习的活动改善了员工的福祉,关系和服务质量.
- 经历COVID-19大流行突出了持续跨部门合作的需求.
- 基本投入包括时间,人员,资金,适应不同环境的能力,以及解决居民需求.
结论:
- 一个变化理论确定了服务设计的良好实践的维度.
- 组织变革应该利用现有的优势来改善护理家庭和初级保健关系.
- 加强合作可以为养老院居民带来高质量的护理和公平的服务获取.
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