利益相关者对英格兰社会处方的理解:初级保健中的定性研究
I Fattorini1, D Westlake1, A Turk1
1University of Oxford, Oxford, UK.
BMC primary care
|July 23, 2025
概括
社会处方将患者与社区资源联系起来,需要利益相关方的合作才能有效实施. 一个新的5Ws框架有助于理解和整合这个复杂的系统.
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
- 定性研究是一种定性研究.
背景情况:
- 社会处方 (SP) 将个人与非医疗社区资源联系起来,以满足更广泛的需求.
- 链接工作者 (LWs) 是英格兰国家卫生服务 (NHS) 中SP的关键促进者.
- 在医疗保健专业人员 (HCP),志愿者和社区部门 (VCS) 代表,LW和患者 (Ps) 之间,SP的理解有所不同.
研究的目的:
- 探索和理解英格兰主要利益相关者对社会处方的不同看法.
- 确定影响SP成功实施和整合的因素.
- 制定一个框架,以提高SP的理解和应用.
主要方法:
- 从现实评估中对面试数据进行二次定性分析.
- 分析了来自106名参与者的数据 (医疗保健专家,VCS代表,LW,Ps) 在七个英语初级保健站点.
- 使用反射主题分析来识别关键主题和模式.
主要成果:
- 出现了12个主题,包括系统优化,个人赋权,包容性,社区参与和整体福祉.
- 利益相关者对SP的理解与五个核心问题有关:如何,谁,什么,在哪里和为什么.
- 开发5Ws框架以概念化和指导SP实施.
结论:
- 社会处方是一个复杂的系统,而不是一个独立的干预措施,需要优化和利益相关者的调整.
- 5Ws框架为了解和有效实施SP提供了一个结构化的方法.
- 政策制定者和专员可以使用5Ws框架来指导决策,并将SP纳入初级保健.
更多相关视频
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.2K
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
12.0K
相关概念视频
Primary Healthcare Services
1.5K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.5K
Community Based Intervention
95
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
95
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
176
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
176
Patient-centered Care
2.3K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.3K
Secondary Healthcare System
1.6K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.6K
The Placebo Effect
6.3K
The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
6.3K
