解开医疗保健网络中专业间合作的黑盒子:范围审查
Kaoutar Dib1,2, Zakaria Belrhiti3,4
1Moroccan Knowledge Center, Mohammed VI International School of Public Health, Mohammed VI University of Sciences and Health, Casablanca, Morocco.
BMJ open
|June 13, 2025
概括
医疗保健网络中有效的专业间协作 (IPC) 需要解决个人,专业和组织层面的系统性问题. 关键促进者包括明确的角色和增强的沟通,以改善患者护理.
科学领域:
- 医疗保健管理的管理
- 卫生系统研究 卫生系统研究
- 专业间合作 专业间合作
背景情况:
- 医疗保健系统面临着分散,孤岛和预算限制.
- 医疗保健网络旨在改善多学科的护理和协作.
- 关于在这些网络中促进专业间合作 (IPC) 的证据有限.
研究的目的:
- 在医疗保健网络中确定有效IPC的流程和驱动因素.
- 在医疗保健网络中探索IPC的促进者和障碍.
主要方法:
- 根据乔安娜·布里格斯研究所和PRISMA-Scoping指南进行范围审查.
- 搜索了五个数据库 (PubMed,Scopus,科学网,研究4生活,BDSP).
- 包括英语或法语的IPC在医疗保健网络中的同行评审文章 (2010-2024年).
主要成果:
- 包括29项研究,确定IPC是一个复杂的,多层次的过程 (个人,互动,专业,组织).
- 主要障碍:沟通不良,缺乏共享知识/决策,层次结构.
- 关键的促进者:角色明确,正式的IPC结构,增强的沟通,专业间的教育.
结论:
- 促进IPC需要针对多个层面的系统性干预.
- 需要进一步的研究来制定有效的IPC和高质量的患者护理策略.
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