在医疗保健系统中赋予人们权力:一个概念模型和路线图
Marzieh Zarinbal1, Hamidreza Izadbakhsh2, Nasim Ghanbar Tehrani2
1Department of Industrial Engineering, Amirkabir University of Technology, Tehran, Iran; Information Technology Research Department, Iranian Research Institute for Information Science and Technology (IranDoc), Tehran, Iran.
Public health
|April 13, 2025
概括
这项研究提出了一个关于赋权人的新概念模型,它超越了患者培训,包括问责制,倡导和参与. 该模型提供了一份路线图,用于在公共卫生政策中实施赋权战略.
科学领域:
- 公共卫生政策 公共卫生政策
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 现有的关于人力赋权的研究主要集中在患者培训和信息传播上.
- 赋权的关键方面,如自决权和以权威行事,往往被忽视.
- 需要采取全面的方法来赋予所有个人权力,而不仅仅是患者.
研究的目的:
- 为所有个人提供适用于人民赋权的新概念模型.
- 为各种医疗保健系统确定和分类关键的赋权策略.
- 为公共卫生领域赋权战略的实施提供路线图.
主要方法:
- 基于2009年世界银行报告的概念模型的开发.
- 一个两阶段的现场采访过程,涉及15名医疗保健政策制定者和100名医疗保健专家的研讨会.
- 对医疗保健系统的战略分析,特别是那些负责任度较低的医疗保健系统.
主要成果:
- 从世界银行报告中证实了五个核心赋权战略的有效性.
- 确定额外的战略,包括信息和教育,问责制,宣传,财务赋权,地方组织能力和参与.
- 制定实施赋权模式的路线图,包括项目概要.
结论:
- 赋权策略的重要性各不相同,有些是其他人的先决条件.
- 策略可以分为基本,功能或结果.
- 该概念模型为加强公共卫生领域的自决权和责任提供了一个框架.
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