医疗保健弹性的概念化:一个范围审查
Erin J Ward1, Craig S Webster1,2
1Centre for Medical and Health Sciences Education, School of Medicine.
Journal of patient safety
|May 2, 2025
概括
这项研究将医疗复原能力定义为预测,吸收,适应或转变以保持绩效的能力. 对于COVID-19后的复苏和未来的准备,共同的理解至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 组织心理学 组织心理学
- 公共卫生 公共卫生
背景情况:
- 医疗保健的弹性得到了突出地位,特别是在COVID-19后.
- 性通常在个人,团队,组织和系统层面进行概念化.
- 现有的研究主要集中在个体的性,而其他层次未被充分探索.
研究的目的:
- 探索超越个人层面的医疗保健弹性概念化.
- 在不同层面上确定弹性如何定义的主题和模式.
- 为医疗保健弹性提出统一的定义.
主要方法:
- 进行了关于医疗保健弹性的文献范围审查.
- 系统地搜索了MEDLINE,EMBASE,PsycINFO和谷歌学者.
- 包括58项符合审查标准的研究,但不包括仅关注个人弹性研究的研究.
主要成果:
- 系统级弹性是最常被探索的概念 (65.5%).
- 没有研究专注于团队级弹性.
- 在弹性概念化中确定了五个关键主题:目标,压力因素,特征,分类 (能力,容量,能力) 和时间维度.
结论:
- 在医疗保健弹性定义中存在显著的多样性,表明这是一个不断变化的领域.
- 提出了一个统一的定义:医疗保健弹性是预测,吸收,适应或转变以保持高效,高质量和安全的绩效的能力.
- 对医疗保健弹性有共同的理解,对于研究,流行病后恢复和为未来的干扰做好准备至关重要.
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