对临床医生对中心社区卫生工作者融合的观点进行定性分析
Elaine T Kiriakopoulos1, Barbara Jobst1, Anna Murray2
1Geisel School of Medicine, Dartmouth College, Hanover, NH, United States.
社区卫生工作者 (CHWs) 对改善病护理有希望,但临床医生需要更多关于其角色和整合的教育. 解决健康的社会决定因素是CHW参与的一个关键领域.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 整合患者护理的整合.
- 症管理 症管理
背景情况:
- 社区卫生工作者 (CHW) 的干预已被证明可以提高健康结果.
- 医疗保健工作者融入专科护理,特别是中心,仍未得到充分研究.
- 卫生专业人员的看法可能会影响在临床环境中采用CHW角色.
研究的目的:
- 探索多学科临床医生对将CHW整合到中心的看法.
- 为了确定阻碍和促进CHW在专家护理的整合障碍和促进者.
主要方法:
- 在5个新英格兰中心对12名临床医生 (医生,护士,社会工作者) 进行了半结构化采访.
- 面试发生在2022年4月至10月之间.
- 定性数据分析采用混合的诱导和演主题方法.
主要成果:
- 临床医生报告说,他们对CHW角色的认识有限,以及如何招募他们.
- 人们更喜欢医疗保健工作者专注于健康的社会决定因素.
- 临床医生对CHW培训,监督和资金表示不确定性,但对整合表示开放.
- 注意到人们对解决健康的社会决定因素的护理差距的认识.
结论:
- 多学科的临床医生认识到中心中医疗卫生工作的潜在好处,特别是解决健康的社会决定因素.
- 尽管存在知识差距和整合挑战,但人们对将医疗保健工作者纳入症护理团队持开放态度.
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