规划综合护理计划的扩展:对加拿大北克省复杂需求的成年人病例管理的定性多个案例研究
Catherine Hudon1, Alexandra Lemay-Compagnat1, Mathieu Bisson1
1Department of Family Medicine and Emergency Medicine, Université de Sherbrooke, Pavillon Z10, 27A rue Privee, Sherbrooke, Quebec, J1H 5H3, Canada.
Health policy (Amsterdam, Netherlands)
|May 28, 2025
概括
实施复杂需求的成年人综合护理计划需要解决患者识别挑战,并通过适当的报酬和变化管理策略确保医生参与,以成功扩大规模.
科学领域:
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
- 社会工作 整合 社会工作 整合
背景情况:
- 具有复杂需求的成年人往往需要分散的卫生和社会服务.
- 综合护理对这一群体至关重要,但组织准备扩大规模的研究不足.
- 现有的研究缺乏关注能够实现综合护理的组织因素.
研究的目的:
- 在综合护理计划中实施病例管理计划,为有复杂需求的成年人提供综合护理.
- 评估影响综合护理计划实施的组织因素.
- 收集利益相关者的建议,以促进综合护理的扩大规模.
主要方法:
- 在卫生和社会服务组织和初级保健诊所中采用了定性多个案例研究设计.
- 数据收集涉及参与者观察,半结构面试和聚焦小组与各种利益相关者.
- 分析使用RE-AIM框架和感应性主题分析,比较已开发的案例故事.
主要成果:
- 综合护理计划的患者鉴定提出了重大挑战,突出了改善医疗信息技术的需要.
- 医生的参与取决于薪酬模式与预期的承诺水平保持一致.
- 有效的变革管理被认为对计划实施和长期可持续性至关重要.
结论:
- 该研究提供了对综合护理计划的组织方便者和障碍者的见解.
- 调查结果为利益相关者提供了实际建议,旨在扩大对有复杂需求的成年人综合护理的规模.
- 解决患者识别,薪酬和变化管理问题是成功扩展计划的关键.
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