修辞与现实对比 - 在第三部门组织的综合护理系统中嵌入一个新的关系
1Somerset Council and NHS Somerset ICB, UK.
International journal of integrated care
|June 30, 2025
概括
英国的英国.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 英国国家卫生服务 (NHS) 英格兰强调第三部门组织在综合护理系统中的战略重要性.
- 建议在法定机构和第三部门机构之间建立"新关系",共同设计和提供当地卫生服务.
研究的目的:
- 探索法定组织和第三部门组织之间的这种"新关系"的实际实施和嵌入.
- 了解两部门领导人关于在当地服务提供中建立伙伴关系的观点.
主要方法:
- 进行了13次半结构面试,与英国地方自治区的法定和第三部门组织的领导人进行了面试.
- 使用框架分析来解释定性数据.
主要成果:
- 调查结果表明",新关系"的言论与其实际嵌入之间存在差距.
- 超越符号主义需要挑战第三部门的看法,并促进真正的合作,以改善健康结果.
- 对地方动态,能力和观点的法定部门理解对于有效的基于地方的治理至关重要.
结论:
- 目前的政策叙述缺乏支持第三部门有意义参与的机构结构和机制.
- 如果没有承诺和协调的努力,第三部门组织的善意可能会因为未现的政策承诺而被侵蚀.
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