如何通过社会处方改善对 (复杂) 多重问题的人的支持,在一个脆弱的社区;专业人士,经验丰富的专家和客户的观点
C Bos1,2, S Vader3, N van Vooren3,4
1National Institute for Public Health and the Environment (RIVM), Centre for Public Health, Healthcare and Society, Department of Population Health & Health Services Research, P.O. Box 1, Bilthoven, 3720 BA, The Netherlands. cheryl.bos@hu.nl.
针对复杂需求的社会处方需要超越转诊的定制支持,专注于个人情况和综合护理. 一个单一的案例经理可以改善弱势群体的结果.
科学领域:
- 社会处方是指社会处方.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 对于轻微与复杂的心理社会问题,社会处方的实施有所不同.
- 2018年开发的荷兰社会处方 (SP) 计划作为一个案例研究.
- 脆弱的社区对社会处方提出了独特的挑战.
研究的目的:
- 检查对复杂需求的社会规范设计和实施的观点.
- 确定有效的策略来支持有多种问题的个人.
- 改善弱势群体的健康和福祉结果.
主要方法:
- 参与行动研究方法.
- 与专业人士,经验专家和客户进行了26次半结构化访谈.
- 观察以收集对社会处方实践的见解.
主要成果:
- 对于那些有复杂,多重问题的人来说,仅仅是转诊是不够的.
- 考虑到生活环境和多元文化背景的定制方法至关重要.
- 挑战包括服务的分散和对更广泛的健康需求不清楚的责任.
结论:
- 加强对有多种问题的人的支持存在重大挑战.
- 客户需求和专业能力之间的不匹配阻碍了有效的护理.
- 作为首个入口点的单一案例经理可以促进量身定制的支持并改善结果.
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