专家关于将息治疗整合到初级医疗保健的观点:对修改后的Delphi研究进行定性分析
Carolina Muñoz Olivar1,2, Francisca Marquez-Doren3, Juan Sebastián Gómez Quintero4
1Health Sciences, Faculty of Medicine, Antonio Nariño University, Bogotá 111321, Colombia.
将息治疗 (PC) 整合到初级卫生保健 (PHC) 中需要的不仅仅是政策和培训. 专家强调实施能力,公平获取和社区参与,以实现有效的整合,特别是在服务不足的地区.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 抚慰性护理是一种缓解性护理.
背景情况:
- 息护理 (PC) 融入初级卫生保健 (PHC) 对于普及健康覆盖和减少痛苦至关重要.
- 全球PC进展不均,低收入和中等收入国家存在显著差距.
- 哥伦比亚先进的PC法律框架与持续的领土不平等形成鲜明对比,突出了实施挑战.
研究的目的:
- 探索国家专家对PC整合到PHC的概念化.
- 为PC-PHC集成提供情境敏感指标的发展提供信息.
主要方法:
- 来自修改后的德尔菲过程 (德尔菲前,第一轮,第二轮) 的定性评论的定向主题分析.
- 以世卫组织的PC开发模型和PHC运营框架为指导的编码.
- 结合演和归纳方法来识别反复出现的主题.
主要成果:
- 分析了来自PC,PHC和公共卫生专家的230条定性评论.
- 整合包括在PHC内调整政策,教育,服务提供和社区参与.
- 有效的整合取决于实施能力,公平的准入,以及对当地响应的系统,而不仅仅是法律或培训.
结论:
- 将PC整合到PHC是一个动态的,道德的过程,将系统设计与人类经验联系起来.
- 加强公平,劳动力准备和社区参与对于将政策转化为实践至关重要.
- 改善卫生系统的有意义指标需要解决这些核心因素.
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