跨专业初级保健团队的基层发展:加拿大家庭实践的定性研究
Asiana Elma1, Aimun Qadeer Shah2, Hila Shnitzer2
1research coordinator, Department of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada; doctoral student, Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
基层发展以团队为基础的家庭实践需要平衡政府投资与实践自主. 这种方法促进了提供商购买和社区响应的创新,改善了医疗保健的获取和效率.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理是指初级护理.
- 基于团队的护理团队
背景情况:
- 获得初级保健服务是一个关键的卫生系统问题.
- 基于团队的护理模式促进更好地获得推广性,预防性和治疗性护理.
- 加拿大卫生系统的投资并没有持续支持以团队为基础的初级保健,导致基层倡议.
研究的目的:
- 探索支持成功基层发展以团队为基础的家庭实践的因素和过程.
- 调查加拿大家庭实践机构自主发起的努力,以转变为以团队为基础的护理模式.
主要方法:
- 定性多个案例研究设计.
- 分析与案件相关的文件和与实践领导者的采访.
- 由社会创新理论指导的不受约束的定性描述.
主要成果:
- 转型过程是复杂的,涉及商业案例开发,融资获取,多利益相关方合作和确保资源.
- 努力与当地医疗保健需求保持一致.
- 报告的积极结果包括改善了访问,附件,工作流程效率,减少了急诊室的访问.
结论:
- 在开发以团队为基础的家庭医疗方面,倡导政府投资和实践水平的自治之间的平衡.
- 这种平衡支持提供者购买,并使社区适当的创新和护理交付的响应能力.
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