了解跨专业初级保健团队的实施:使用概念映射为跨学科纵向研究提供信息
Pablo Galvez-Hernandez1,2, Walter P Wodchis2,3, Kerry Kuluski2,3
1Department of Health and Society, University of Toronto Scarborough, Toronto, Canada.
开发了一个新的框架,即优化初级医疗保健专业间护理团队 (OPTIC-PHC),指导研究如何发展专业间初级医疗保健团队以改善患者的结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级医疗保健是一项主要的医疗保健.
- 团队科学 团队科学
背景情况:
- 跨专业团队对于改善健康结果,职业满意度和公平获得医疗保健至关重要.
- 高性能跨专业初级保健团队的长期发展和成功因素尚未得到充分理解.
- 有必要进行结构化研究,以指导研究在初级保健机构中团队演变的研究.
研究的目的:
- 概述在初级卫生保健中优化专业间护理团队 (OPTIC-PHC) 概念框架的发展.
- 引导一项泛加拿大纵向研究,研究跨专业初级保健团队的演变.
- 定义关键结构,以简化关于团队动态和效率的跨学科研究.
主要方法:
- 进行了一项参与式的,多阶段的群体概念映射练习.
- 参与了30名研究人员和政策制定者在6个步骤的14次会议.
- 专注于定义研究问题,头脑风暴概念,绘图和框架开发.
主要成果:
- OPTIC-PHC框架由19个概念组成,分为6个领域.
- 领域包括患者/社区伙伴关系,个人观点,团队结构,协作,与需求保持一致以及外部环境.
- 这些元素为研究跨专业初级保健团队的演变提供了一个结构.
结论:
- OPTIC-PHC框架为研究跨专业初级保健团队 (IPCT) 的研究人员提供了一个基本工具.
- 它概述了关键的结构和流程元素,这些元素对于理解团队随着时间的推移而发生的演变至关重要.
- 建议进一步细化患者和护理人员的投入,以提高框架相关性和测量策略.
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