摩洛哥的初级医生和转诊专家之间的临床协调:一个横截面研究
Rachid Moulki1,2,3, Zakaria Belrhiti4,5, Hanane Asri6,7
1Mohammed VI International School of Public Health, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco. rmoulki@um6ss.ma.
BMC primary care
|November 29, 2025
概括
在摩洛哥,初级医生和转诊专家之间的临床协调是有限的,这影响了护理的连续性. 加强协调需要改善反,数字工具和对初级保健医生的正式认可.
科学领域:
- 医疗保健管理的管理
- 临床协调 临床协调
- 医生合作 医生合作
背景情况:
- 初级医生 (PLP) 和转诊专家 (RLS) 之间的临床协调对于医疗保健系统改革至关重要,但在北非没有充分记录.
- 这项研究解决了评估摩洛哥卡萨布兰卡-塞塔特地区临床协调的需要,并确定了关键影响因素.
研究的目的:
- 评估卡萨布兰卡-塞塔特地区PLP和RLS之间临床协调的现状.
- 确定与医生对临床协调的看法相关的社会人口统计学,组织和互动因素.
主要方法:
- 一项分析横截面调查使用了经过验证的COORDENA-CAT问卷在329名医生 (186名PLP,143名RLS) 中进行.
- 收集的数据包括信息共享,临床管理协调和整体协调的感知等经验.
- 多变量后勤回归分析确定了与高度感知协调相关的因素.
主要成果:
- 只有30.7%的医生报告定期共享临床信息,治疗一致性有限 (24.3%共同定义的护理计划).
- 关于转诊适当性的医生一致意见很低 (97.3%的PLP与59.4%的RLS相比).
- 高协调感知的独立因素包括在推层面的工作,个人关系,感知到的相互影响以及支持性的机构环境.
结论:
- 临床协调显著受到限制,特别是PLP,由于反不足,形式结构薄弱和专家访问受限制.
- 优先战略包括加强地方治理,实施安全的数字工具 (EHR,远程专家),定期进行临床会议,并正式确定PLP作为护理协调员的角色.
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