导航健康和社会护理系统:专业紧张,跨部门效应和导航研究和实践中的方法复杂性
Mia Harrison1, Esther Tordjmann2, Fiona Haigh3
1Centre for Social Research in Health, University of New South Wales, Sydney, Australia.
概括
导航复杂的健康和社会护理系统需要了解结构和解释实践. 研究必须不断发展,以捕捉导航.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康和疾病的社会学
- 定性研究方法 定性研究方法
背景情况:
- 越来越需要在卫生和社会护理系统中进行患者导航.
- 现有的导航评估往往只关注个别结果或实施障碍.
- 研究航行在各个部门的更广泛的结构影响是具有挑战性的.
研究的目的:
- 批判性地综合有关健康和社会护理导航的定性文献.
- 探索研究航行结构影响的挑战.
- 提出一个导航实践的概念化.
主要方法:
- 20项定性研究的批判性解释综合.
- 分析围绕四个关键主题进行:实践模式,认识权威,授权航行到位和定位导航效应.
- 通过结构和解释的双重模式对导航进行概念化.
主要成果:
- 导航涉及结构性 (系统层面) 和解释性 (关系,位置) 实践.
- 现有的研究往往忽视了航海员工作的关系和处境方面.
- 确定了复杂的多部门护理系统的研究设计中的挑战.
结论:
- 双模式的概念化 (结构和解释) 提高了对导航实践的批判性关注.
- 需要研究设计,更好地反映护理系统的复杂性和多部门效应.
- 数字和算法工具为导航研究带来了新的挑战.
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