使用社区组织来构建护理系统:一种混合方法评估
Catherine DeCarlo Santiago1, Jessica Biggs2, Jasmine Serrano2
1Loyola University Chicago, Chicago, Illinois, USA.
American journal of community psychology
|December 25, 2024
概括
这项研究评估了基于社区的护理系统 (SOC),发现改善了家长的护理协调和沟通. 然而,社区合作伙伴的反没有显示出任何重大变化,突出了实施挑战.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 社区组织组织社区组织组织
背景情况:
- 实施一个基于社区组织原则的护理系统 (SOC) 是复杂的.
- 评估这样一个系统的初始阶段需要了解多个利益相关者的观点.
- 在研究期间,COVID-19大流行带来了独特的挑战.
研究的目的:
- 用混合方法评估基于社区的护理系统 (SOC) 的初始实施情况.
- 评估护理协调,沟通,服务质量和利益相关者之间的关系的变化.
- 确定SOC有效性的障碍和促进者.
主要方法:
- 混合方法方法结合了调查和定性访谈/重点小组.
- 在基线和1年后对家长和社区合作伙伴进行的调查.
- 从社区组织工作人员,导航员,学校工作人员和服务接受者收集的定性数据.
主要成果:
- 家长调查表明,护理协调,沟通和服务质量有所改善.
- 定性数据显示,社区导航员推动的加强了沟通,护理协调,关系和服务访问.
- 社区合作伙伴调查没有显示实施后的统计学意义上的变化.
结论:
- 护理系统 (SOC) 在改善服务受益者的结果方面表现有前途,特别是通过社区导航员.
- 存在实施挑战,社区合作伙伴报告的重大变化缺乏证据表明.
- 需要进一步的研究来完善SOC模型并解决系统性障碍,考虑到外界因素的影响,如流行病.
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