医疗保健中的组织弹性:一个范围审查
Hannah C Ratliff1, Kathryn A Lee2, Mara Buchbinder3
1Department of Psychiatry, University of Michigan, Ann Arbor, Michigan.
概括
医疗保健组织可以建立弹性,以应对劳动力短缺和流行病等挑战. 本综述综合了组织性如何定义和测量,为超越个人临床医生支持的未来战略提供了信息.
科学领域:
- 医疗保健管理的管理
- 组织心理学 组织心理学
- 公共卫生 公共卫生
背景情况:
- 医疗机构面临着前所未有的挑战,包括劳动力短缺,流行病和经济压力影响医疗质量.
- 组织弹性,即适应压力因素的能力,至关重要,但与个人临床医生相比,在团队和系统层面的理解较少.
- 定义和测量组织性对于有效应对当前和未来的医疗保健危机至关重要.
研究的目的:
- 进行范围审查,综合医疗保健文献中的组织弹性定义和测量.
- 确定有助于组织恢复力的关键组件和策略.
- 为制定旨在提高医疗保健组织性的未来干预措施提供信息.
主要方法:
- 系统地搜索PubMed和Scopus数据库中的文献,寻找有关医疗保健中的组织弹性文章.
- 包括到2023年12月出版的所有英语来源,描述或测量了组织性.
- 选标题和摘要,然后从符合条件的文章中提取信息.
主要成果:
- 在243次选后,总共包括97篇文章在审查中.
- 组织弹性一直被定义为医疗保健系统在压力下保持功能和目标的能力.
- 确定的关键组成部分包括反应性和主动性策略,以及反思;现有四项措施,其中两项已得到验证.
结论:
- 需要进一步的研究来验证和比较现有的组织弹性措施.
- 调查组织弹性对护理质量和临床医生的福祉的影响是关键的下一步.
- 该领域应该扩大其重点,从个人临床医生的恢复力扩大到更广泛的组织能力.
相关概念视频
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