在北欧国家实施跨部门康复:范围审查
Helle Bøgard1, Signe Green Knakkergaard1,2, Charlotte Simonÿ1,2
1The Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Slagelse, Denmark.
北欧国家的跨部门康复因医疗保健系统分散而面临挑战. 影响实施的关键因素包括组织,资源,协作和沟通,突出了需要有系统的方法.
科学领域:
- 医疗保健系统研究 医疗保健系统研究
- 康复科学 康复科学 康复科学
- 实施科学 实施科学
背景情况:
- 北欧国家因人口老龄化和健康状况下降而面临着日益增长的康复需求.
- 北欧国家普遍的医疗保健系统往往导致患者在不同部门之间过渡的分裂.
- 这种碎片化挑战了康复服务的连续性和质量.
研究的目的:
- 研究影响北欧国家跨部门康复实施的因素.
- 为未来的康复服务实施策略提供信息.
- 在可比的医疗保健系统中识别促进者和障碍者.
主要方法:
- 根据PRISMA扩展范围审查指南进行了范围审查.
- 对北欧国家成人康复干预的同行评审初级研究进行了系统的搜索.
- 用内容分析绘制和分析数据,以确定影响因素.
主要成果:
- 审查了36篇论文,主要侧重于二级到初级部门的过渡.
- 一种自上而下的实施方法更频繁地报告,并且似乎比自下而上更容易实现.
- 关键影响因素包括组织,资源,协作和沟通.
结论:
- 组织,资源,协作和沟通对于跨部门的康复实施至关重要.
- 识别的知识差距包括缺乏患者的观点和系统的实施框架.
- 进一步的研究应该解决这些差距,以提高康复服务的成功.
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