让基于团队的多学科护理 (MTBC) 在初级保健中取得成功:一个范围审查 护理:一个范围审查
Zhanming Liang1, Jasmine Montgomery1, Cate Dingelstad2
1College of Business, Law and Governance, James Cook University, Townsville, QLD, Australia.
Journal of healthcare leadership
|November 17, 2025
概括
基于多学科的团队护理 (MTBC) 改善了患者在初级保健中的结果. 本综述确定了成功实施MTBC的关键因素和创新,提高了以患者为中心的护理服务.
科学领域:
- 医疗保健管理的管理
- 主要护理医学 医疗保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 以患者为中心的护理对于高质量的医疗保健至关重要,多学科团队护理 (MTBC) 是一个关键的促进者.
- MTBC涉及专业人士与共同的目标,明确的角色,信任和有效的沟通合作取得成功.
- 关于支持MTBC在初级保健中的系统或跨组织方法的研究有限.
研究的目的:
- 进行范围审查,确定在初级保健机构中运行MTBC的国际创新.
- 确定影响MTBC实施和采用成功的因素.
主要方法:
- 在2024年10月至12月期间进行了全面的范围审查.
- 搜索的数据库包括CINAHL,ProQuest Central,PubMed,Scopus和Web of Science等数据库,这些数据库的搜索结果都显示出不同的数据.
- 搜索术语集中在MTBC,初级保健,设计和成功因素上,遵循阿克西和奥马利框架.
主要成果:
- 该审查分析了58篇文章,确定了14个关键成功因素和14个MTBC实施障碍.
- 六个主题突出了MTBC的优势:以患者为中心的好处,团队合作,决策,沟通,访问/性能和基础设施.
- 证实了MTBC模型的6个核心好处和11个核心组件.
结论:
- 在初级保健中成功实施MTBC需要整合已识别的关键元素.
- 可适应的MTBC模型可以提高服务提供和患者的结果.
- 本综述为在初级保健中开发有效的MTBC模型提供了指导.
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