为第一民族,区域和偏远人口委托卫生服务:一个范围审查
Henry Boer1, Janya McCalman2, Chris Doran3
1Office of Indigenous Engagement, CQUniversity Australia, Level 2 Cairns Square, Cnr Abbott & Shields St, Cairns, QLD, 4881, Australia. h.boer@cqu.edu.au.
BMC health services research
|January 6, 2025
概括
一个关系型模型,强调响应能力,资源,协作,公平,创新和自决,是成功委托土著人口健康服务的关键. 这种方法改善了医疗保健的获取和福祉.
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
- 土著健康土著健康
背景情况:
- 卫生服务委托用于提高第一民族,区域和偏远人口的医疗保健质量和获取机会.
- 本综述系统地检查了有关CANZUS国家这些群体的治理,资金,实施和卫生服务委托结果的文献.
研究的目的:
- 系统地检查关于为第一民族,区域和偏远人口委托医疗服务的文献.
- 在为这些人群委托卫生服务时,确定推动者,战略和挑战.
主要方法:
- 从2010年到2023年,对17个数据库进行系统搜索同行评审和灰色文献.
- 基于理论的方法被用于分析已识别的研究.
主要成果:
- 有效的调试需要灵活的运营模式,有能力的劳动力,灵活的合同,足够的资金和明确的结果.
- 关键策略包括多方合作,关系建设和服务创新,从而改善访问和自决.
- 挑战涉及不灵活的资金,高成本,过度合规和糟糕的关系;影响评估有限.
结论:
- 一个以响应,资源,协作,公平,创新和自决为特征的关系模式,推动了成功的健康和福祉服务委托.
- 这种由多个参与者应用的关系模型可以有效地解决第一民族,区域和偏远人口的复杂健康需求.
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