一个试点混合方法重新想象农村临界接入医院的设计过程
Elizabeth A Johnson1,2, Julie Alexander-Ruff1, Bernadette McCrory2,3
1Montana State University, Mark & Robyn Jones College of Nursing, USA.
农村医院需要改进设施设计. 噪音和照明是影响临界接入医院的患者接入和态度的关键环境因素,特别是在小社区.
科学领域:
- 医疗保健设计 医疗保健设计
- 农村卫生 农村卫生
- 混合方法 研究 研究 研究 混合方法
背景情况:
- 蒙大拿州面临着孤立人口和关闭关键医院的医疗保健挑战.
- 农村医院需要与社区需求相一致的设施翻新,以实现有效的运营.
研究的目的:
- 通过混合方法评估农村临界接入医院的环境.
- 通过合并设施和社区视角来确定改善医院运营,服务和接入的设计变化.
主要方法:
- 使用七个指标 (照明,空气质量,噪音等) 进行设施环境评估. ) 的情况.
- 与社区居民进行定性半结构面试.
- 结果的协同解释与社区咨询委员会和医院领导.
主要成果:
- 对于居民来说,噪音和照明是最重要的环境指标.
- 居民强调需要加强隐私和保密保护措施.
结论:
- 混合方法方法有利于农村医疗保健设施的设计.
- 一个特定于农村文化的框架可以使决策与改善社区参与的决策保持一致.
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