为了治理还是与治理? 推进治理模式,包括患者,护理人员和社区作为有价值的合作伙伴
Kerry Kuluski1, Emily Cordeaux2, Carol Fancott3
1Dr. Mathias Gysler Research Chair in Patient and Family Centred Care, Institute for Better Health, Trillium Health Partners, Mississauga, ON, Professor, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON.
HealthcarePapers
|October 22, 2025
概括
通过集体影响和公众参与来加强医疗保健治理,可以提高卫生系统的性能. 通过总体原则赋予地方各级权力,可以促进持续学习,更好地满足社区需求.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 组织治理 组织治理
背景情况:
- 医疗治理显著影响卫生系统的表现和公民的结果.
- 当前的治理模式可能无法充分解决不断变化的社区健康需求.
- 需要加强患者和公众参与医疗保健决策.
研究的目的:
- 倡导医疗保健治理重新设计,重点是加强集体影响.
- 探索如何增加患者和公众的参与,可以培养持续改进的文化.
- 提出治理模式,将地方赋权与总体原则相结合.
主要方法:
- 对医疗管理框架的概念分析.
- 提升患者,护理人员和公众参与策略的论证.
- 讨论去中心化的权力结构和系统集成.
主要成果:
- 重新设计的治理可以通过吸引各种利益相关者来增强集体影响.
- 扩大公众和患者的参与度促进了学习和改进的文化.
- 将总体原则与地方赋权相结合,提供了变革性的潜力.
结论:
- 医疗治理改革对于改善医疗系统绩效至关重要.
- 由公众参与和共同设计驱动的集体影响模型是转型的关键.
- 以共同原则为指导的分散决策优化了卫生系统的响应能力.
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