对支持有效社区卫生工作者-社会工作者合作的多层次因素进行定性探索
Nidhi Monga Nakra1, Liana J Petruzzi2, Alexander B Diller2
1Johns Hopkins University.
Research square
|June 30, 2025
概括
社区卫生工作者 (CHW) 和社会工作者 (SW) 之间的成功合作需要解决个人,组织和社会因素. 优化CHW-SW整合可以增强以患者为中心的护理,并促进健康公平.
科学领域:
- 医疗保健提供 医疗保健提供
- 跨学科合作 跨学科合作
- 健康 公平 卫生 公平
背景情况:
- 跨学科合作对于医疗保健提供至关重要,但促进社区卫生工作者 (CHWs) 和社会工作者 (SWs) 之间合作的因素未得到充分研究.
- 医疗保健工作者和医疗健康工作者对于解决复杂的社会和健康需求至关重要,但成功的整合需要了解协作促进者.
- 这项定性研究调查了多层次因素,影响CHW-SW在各种医疗保健和社区环境中的合作.
研究的目的:
- 探索促进社区卫生工作者 (CHW) 和社会工作者 (SW) 之间成功合作的多层次因素.
- 确定影响CHW-SW跨学科团队有效性的个人,组织和社会因素.
- 为优化CHW和SW在医疗保健系统中的整合提供见解,以改善患者的治疗结果.
主要方法:
- 与CHW (n=20) 和SW (n=17) 进行了八个虚拟焦点小组 (每小时90分钟).
- 包括来自美国四个医疗保健和社区卫生机构的参与者.
- 焦点小组发生在2022年4月至2023年6月之间.
主要成果:
- 个人/关系因素:明确的角色,沟通,尊重,监督和权力动态.
- 组织/社区因素:对公平的承诺,领导力支持,培训,工作流程和共享空间.
- 社会因素:权力动态,支持性政策和可持续融资.
结论:
- 有效的CHW-SW协作促进了以患者为中心的护理,并在整合到医疗保健系统时解决了健康的社会决定因素.
- 建立组织承诺,社区关系和强大的关系动态是优化跨学科合作的关键.
- 成功的CHW-SW整合通过利用两种劳动力的独特优势,促进了健康公平.
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