"无论如何,这就是我们应该做的事情":使用金融激励来促进澳大利亚全科医院的关系连续性 - - 一个嵌套的案例研究分析
Grant Russell1, Susannah Westbury1, Jenny Advocat2
1Department of General Practice, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Rd, Melbourne, VIC 3004, Australia.
Family practice
|December 13, 2024
概括
财政激励措施并没有改善初级保健中的关系连续性. 患者和工作人员发现激励措施是不灵活的,他们更喜欢奖励,而不是提高质量. 现有的例行活动被强调而不是新的例行活动.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 关系连续性是有效的初级保健的基石.
- 在EQuIP-GP试验中,研究了加强关系连续性的财务激励措施.
研究的目的:
- 探索患者,提供者和工作人员对关系连续性的财务激励的看法.
- 评估金融激励模式对临床和组织例行的影响.
主要方法:
- 在EQuIP-GP试验中对六个初级保健实践的混合方法案例研究.
- 与患者,提供者,工作人员和辅导员进行半结构化访谈.
- 在基线和12个月的调查和患者评估.
主要成果:
- 金融激励措施没有显著影响患者感知到的关系连续性.
- 激励措施被认为更适合奖励质量,而不是激励质量,被认为是不灵活的.
- 激励模式加强了现有的组织程序,而不是培养新的程序.
结论:
- 激励模式需要灵活性,以满足不同患者和实践需求.
- 对现有的日常生活进行微小的调整可以提高对关系连续性的意识和奉献.
- 需要进一步研究如何在不优先考虑连续性的实践中实施常规变化.
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