提升一个看不见的角色:共同设计解决方案,以优化医疗办公室助理在初级保健
Jennifer Shuldiner1,2,3, Apira Ragunathan4, Jawairia Mohammed4
1Research and Innovation Institute, Womens College Hospital, Toronto, Canada. jennifer.shuldiner@wchospital.ca.
BMC primary care
|January 6, 2026
概括
医疗办公室助理 (MOA) 面临的挑战包括缺乏培训和感觉被低估. 解决方案包括专业协会,更好的培训和定义的角色,以改善初级保健和患者的结果.
科学领域:
- 初级保健研究研究初级保健研究
- 健康劳动力研究 卫生劳动力研究
- 基于团队的护理团队
背景情况:
- 医疗办公室助理 (MOA) 对于初级保健效率至关重要,但他们的角色未得到充分承认.
- 对MOA的优化策略,以改善患者和团队的治疗结果尚未得到充分理解.
研究的目的:
- 探索MOA目前的角色和经验.
- 确定影响MOA工作的障碍和推动因素.
- 共同设计可扩展的解决方案,以支持MOA.
主要方法:
- 使用共同设计原则的多方法研究,包括MOA共同创作研讨会 (N=9).
- 对MOA经验和挑战进行主题分析.
- 两轮的Delphi调查 (n=32) 与MOA,临床医生,研究人员和领导人一起使用APEASE框架来评价解决方案.
- 多方利益相关者研讨会讨论扩展战略.
主要成果:
- MOA强调了它们在患者护理,诊所流动和导航中的核心作用.
- 确定了关键挑战:学习曲线,缺乏正式培训,工作流变化,情绪紧张和被低估的感觉.
- 最高评级的解决方案:专业的MOA协会,扩展的培训/安全协议,定义的最佳实践和简化推.
结论:
- 需要政策关注来定义和支持MOA角色.
- 投资于MOA培训和专业化可以增强基于团队的护理.
- 有意义的MOA嵌入支持初级保健团队实现五重目标.
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