一般医生的劳动力可持续性,以最大限度地提高有效和公平的病人护理:一个现实的审查
Emily Owen-Boukra1, Bryan Burford2, Tanya Cohen3
1University of Oxford, Nuffield Department of Primary Care Health Sciences, Oxford, United Kingdom of Great Britain and Northern Ireland emily.owen-boukra@phc.ox.ac.uk.
概括
一般医生 (GP) 的劳动力可持续性取决于支持性的组织结构和关系,而不仅仅是个人的福祉. 需要改变系统,以促进GP的参与,并确保公平的患者护理.
科学领域:
- 初级保健研究研究初级保健研究
- 卫生系统分析 卫生系统分析
- 劳动力可持续性研究 劳动力可持续性研究
背景情况:
- 严重的全科医生 (GP) 劳动力短缺影响英国和全球的初级保健.
- 现有的研究往往忽视了影响GP工作和可持续性的组织和系统层面因素.
- 本次审查侧重于使GP繁荣和员工保留成为可能的因素.
研究的目的:
- 调查通用诊所的工作和医疗保健系统如何支持全科医生员工.
- 检查这些系统对有效和公平的患者护理的影响.
主要方法:
- 一个以英国为重点的实证和灰色文学现实主义评论.
- 利用现实主义合成,包括理论开发,证据搜索,数据提取和合成.
- 在患者和公众的投入下开发了上下文-机制-结果配置.
主要成果:
- 分析了191份文件,揭示了有意义的工作,参与和关系的重要性.
- 劳动力可持续性和优质的患者护理需要将GP价值观与工作,知识建设,系统灵活性,心理安全和人际联系相协调.
- 关键的推动因素包括支持性的组织结构,政策和关系联系.
结论:
- 组织结构,政策和关系对于维持GP员工和确保有效,公平的护理至关重要.
- 一般医生,患者和决策者之间的合作对于系统改进至关重要.
- 未来的系统应该优先考虑个性化护理,创造意义和GP自主性,以加强参与和公平.
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