患者作为家庭护理的边界主体:患者及其亲属如何协调 (专业间) 工作
Marilena Diel1, Clarissa E Weber2, Christiane Müller3
1Chair of Organization and Corporate Development, Faculty of Business and Economics, University of Göttingen, Germany.
Social science & medicine (1982)
|December 22, 2025
概括
患者积极协调家庭护理,通过持续同步或初始配置指导医疗保健专业人员. 这项研究强调了患者参与管理专业间的工作,以改善家庭医疗保健服务.
科学领域:
- 医疗保健管理的管理
- 患者协调 患者协调
- 专业间合作 专业间合作
背景情况:
- 在家庭护理中,医疗保健专业人员之间的相互依赖工作的协调是至关重要的.
- 专业协调的挑战包括时间限制,空间分离和分散的通信系统.
研究的目的:
- 调查患者及其亲属如何在家庭护理环境中积极协调专业间的工作.
- 在德国最佳实践的家庭护理案例中确定不同的患者主导的协调方法.
主要方法:
- 德国八个最佳实践家庭护理案例的定性研究.
- 对29次采访,9次非参与性观察和59次非正式对话进行了诱导性分析.
- 专注于患者作为"边界主体",积极参与协调.
主要成果:
- 确定了两个主要的协调方法:持续同步和初始配置.
- 患者/亲属指导,整合和监控专业工作 (持续同步).
- 患者/亲属设定目标,并在早期培养联系 (初始配置).
结论:
- 患者和亲属在协调家庭护理方面发挥着重要作用,影响工作执行,信息交换和安排.
- 调查结果为授权患者或建立替代协调机制的策略提供信息.
- 了解患者参与是改善家庭护理协调和提供的关键.
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