一般医生和专家之间对初级中等护理合作的感知以及对创新的感知潜力:一项探索性定性研究
Malou Crasborn1, Maarten O van Aken2,3, Bas L van der Hoeven4
1Department of Public Health & Primary Care/Health Campus The Hague, Leiden University Medical Center, Leiden, Zuid-Holland, Netherlands m.crasborn@lumc.nl.
BMJ open
|November 14, 2025
概括
医疗保健专业人员面临系统层面的挑战,阻碍了初级和二级保健协作. 改善护理连续性需要综合解决方案,解决软件,通信和转诊流程,以获得更好的健康结果.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 初级和二级保健之间的合作对于无的患者旅程至关重要.
- 现有的系统层面问题和不足的工具阻碍了有效的专业间协作.
- 随着医疗保健需求的增加和资源限制,需要优化协作模式.
研究的目的:
- 检查初级和中等保健专业协作中的障碍和促进者.
- 确定初级-中等护理连续的挑战,好处和拟议的变化.
- 确定改善协作和确保可持续的护理质量的领域.
主要方法:
- 使用半结构面试进行的定性探索性研究.
- 由实施研究综合框架 (CFIR) 和实施结果指导的数据.
- 通过初级和中等保健咨询和沟通的透视来关注服务 (重新设计).
主要成果:
- 确定了四个关键领域:软件/记录集成,个人互动,减少"我们与他们"的心态,以及护理差距的连续性.
- 系统层面的问题和糟糕的协作工具导致工作负载,错误沟通和护理质量下降.
- 初级和中级护理专业人员报告了类似的协作挑战.
结论:
- 改善协作需要对推和反推流程进行全面的改革,而不仅仅是个别服务调整.
- 针对特定领域的综合方法对于提高护理质量和简化工作流程至关重要.
- 优化协作支持可持续的访问,改善健康结果和高效的资源利用.
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