对支持有效社区卫生工作者-社会工作者合作的多层次因素进行定性探索
Nidhi Monga Nakra1, Liana J Petruzzi2,3, Alexander B Diller4,5
1Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA.
BMC health services research
|October 1, 2025
概括
社区卫生工作者 (CHWs) 和社会工作者 (SWs) 之间的成功合作需要解决个人,组织和社会因素. 优化这种跨学科的团队合作可以促进健康公平和以患者为中心的护理.
科学领域:
- 提供医疗保健服务.
- 跨学科合作跨学科合作
- 卫生公平性健康公平性
背景情况:
- 社区卫生工作者 (CHW) 和社会工作者 (SW) 对于解决复杂的健康和社会需求至关重要.
- 关于促进CHW-SW合作的文献有限.
- 本研究探讨了影响CHW-SW合作的多层次因素.
研究的目的:
- 确定促进CHWs和SWs之间成功合作的因素.
- 了解医疗保健环境中跨学科团队合作的多层次影响.
主要方法:
- 使用八个虚拟焦点组进行定性研究.
- 参与者包括CHW (n=20) 和SW (n=17).
- 来自美国四个医疗保健和社区卫生机构的数据 (2022年4月至2023年6月).
主要成果:
- 个人/关系因素:明确的角色,沟通,尊重,监督,权力动态.
- 组织/社区因素:公平承诺,领导力支持,培训,工作流程,共享空间.
- 社会因素:支持政策和可持续融资.
结论:
- CHW-SW合作促进了以患者为中心的护理,并解决了健康的社会决定因素.
- 整合到医疗保健系统是有效合作的关键.
- 组织承诺,社区关系和关系动态对于推进健康公平至关重要.
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