欧洲初级保健中的社会处方最佳实践方法:德尔菲议定书侧重于链接工作者
Ferdinando Petrazzuoli1,2, Josep Vidal-Alaball3,4, Joyce Kenkre4,5
1Department of Clinical Sciences in Malmö, Centre for Primary Health Care Research, Lund University, Sweden.
概括
社会处方 (SP) 将患者与社区资源联系起来,但像社会处方链接工作者 (SPLWs) 这样的角色需要更清晰的定义. 本研究旨在就SP和SPLW角色建立国际共识,以更好地整合医疗保健.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 社区医学 社区医学
背景情况:
- 社会处方 (SP) 将个人与非临床社区资源联系起来,但其有效性受到不清楚的定义和角色的阻碍,特别是在英国以外的社会处方链接工作者 (SPLW) 身上.
- 对SPLW缺乏标准化的角色,教育背景和培训要求,这阻碍了SP倡议的一致实施和评估.
- 确定最佳患者群体和标准化评估工具和转诊途径对于广泛采用SP至关重要.
研究的目的:
- 在社会处方中的定义和角色上建立国际共识,重点关注社会处方链接工作者 (SPLWs).
- 通过澄清其责任,教育需求和培训要求,为将SPLW纳入医疗保健系统提供基础.
- 确定关键患者群体,并标准化社会处方的方法,评估工具和转诊途径.
主要方法:
- 将采用三轮的德尔菲协议,并由国际专家小组 (约. 60名参与者).参与者).
- 调查将收集有关SPLW角色,受益人群,方法和评估工具的见解.
- 共识将被定义为在五分利克特级别上至少80%的协议,遵守CREDES指导方针.
主要成果:
- 在德尔菲进程之后,预计将就SP定义和SPLW角色达成共识.
- 确定最有可能从SP干预中受益的特定患者群体.
- 将为SP方法,评估工具和转介途径制定标准化建议.
结论:
- 这项研究旨在统一对SP和SPLW角色的分散理解,促进其融入医疗保健.
- 德尔菲技术通过参与者的匿名性和代反来确保强大的共识建设.
- 结果将加强SP在综合护理中的作用,减少健康不平等,促进社会凝聚力,并改善SP在初级保健中的采用.
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