加拿大初级保健的公共优先事项:来自5个省级参考小组的见解和可行的建议的报告
Tara Kiran1, Rachel Thelen2, Kirsten Szymanski3
1Staff physician in the Department of Family and Community Medicine and Scientist in the MAP Centre for Urban Health Solutions at St Michael's Hospital, Unity Health Toronto in Ontario; is Fidani Chair of Improvement and Innovation at the University of Toronto; and is Associate Professor in the Temerty Faculty of Medicine and the Institute of Health Policy, Management and Evaluation at the University of Toronto.
公共小组确定了加拿大的初级保健挑战,并建议以团队为基础的护理和改善接入. 这些发现为改善卫生系统和改变政策提供了方向.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 主要护理改革的第一步是
背景情况:
- 我们的护理计划让公众参与了加拿大初级保健的未来.
- 召集了五个省级参考小组,以收集公众的意见.
- 这代表了全国最大的努力,让公民参与初级保健讨论.
研究的目的:
- 提出五个省级公共参考小组的建议.
- 概述公众对加拿大初级保健未来的愿景.
- 为卫生系统领导者和决策者提供公共优先事项的信息.
主要方法:
- 在新斯科舍省,北克省,安大略省,曼尼托巴省和不列颠哥伦比亚省,随机选择的公共小组 (每组30-36名成员).
- 专家小组成员参与了长达40小时的专家学习和审议.
- 由临床医生,政策制定者和研究人员组成的省级咨询委员会支持了这些小组.
主要成果:
- 确定了关键挑战:卫生工作人员危机,不公平的获取和分散的服务.
- 公共共识要求及时,公平,以预防为重点,包容性,以患者为中心,负责任的初级保健.
- 建议包括扩大以团队为基础的护理,改善劳动力保留,确保患者记录的访问,解决社会决定因素和赋予患者权力.
结论:
- 公共讨论为改善初级保健提供了可操作的见解.
- 结果为卫生系统领导者,政策制定者和家庭医生提供了指导.
- 这些发现强调了需要以患者为中心和可访问的初级保健系统.
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