从"四分卫"到"教练":家庭医生在以团队为基础的护理中不断变化的作用对政策的影响
Myles Leslie1, Anita McDonald2
1School of Public Policy and Cumming School of Medicine, University of Calgary, Calgary, AB, Canada. myles.leslie@ucalgary.ca.
BMC primary care
|January 31, 2026
概括
将家庭医生从直接护理的"四分卫"转变为护士的"教练"需要支付改革,文化转换,以及在人力资源和团队动态方面的培训,以成功扩大基于团队的护理模式.
科学领域:
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
- 基于团队的护理团队
背景情况:
- 彩色项目探索了加拿大初级保健中的创新团队式护理模式.
- 它检查了由医生领导的团队的演变,从直接的病人护理转向指导注册护士.
研究的目的:
- 确定扩大医生领导的初级保健团队模型的政策教训.
- 了解医生从直接护理提供者转变为其他医疗保健专业人员的教练.
主要方法:
- 雇佣参与者观察 (n=12) 和半结构面试 (n=11).
- 利用解释性描述性方法来分析转录的采访数据.
主要成果:
- 医生角色的转变需要支付改革,文化适应以及医生和团队成员的具体培训.
- 培训应涵盖人力资源技能,包括招聘,实践范围,团队动态,保留和变革管理.
结论:
- 扩大以团队为基础的护理模式需要政策支持教育,以平整层次结构,改善沟通,提高医生指导技能.
- 优化跨专业组合和授权团队成员重新谈判实践范围对于成功实施至关重要.
相关概念视频
Introduction To Health Care Delivery System
4.8K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
4.8K
Interdisciplinary Care: The Health Care Team-I
2.6K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.6K
Interdisciplinary Care: The Health Care Team-II
2.2K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
2.2K
Patient-centered Care
3.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.1K
Methods of Documentation VI: Case Management Model
924
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
924
Ethical Issues
2.3K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.3K


