支持初级医疗保健的国家和地方护理模式:混合方法研究
Mary Louisa Plummer1, Nuria Toro Polanco1, Faraz Khalid2
1World Health Organization, Division of Universal Health Coverage and Life Course, Department of Integrated Health Services, Clinical Services and Systems Unit, Geneva, Switzerland.
The International journal of health planning and management
|February 21, 2026
概括
将医疗保健的护理模式 (MOCs) 转变为初级医疗保健 (PHC) 需要明确的阐述和实际规划. 成功的MOC加强初级保健能力,整合服务,并确保协调,以人为中心的交付.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 世界卫生大会敦促各国在2020年转向初级卫生保健 (PHC) 护理模式 (MOC).
- 了解MOC如何被概念化和实施对于这种全球健康重定位至关重要.
研究的目的:
- 描述"护理模式"概念的常见理解和应用.
- 确定已实施的MOC及其在国家和地方层面支持PHC的组件.
主要方法:
- 从PubMed,全球指数Medicus和世卫组织出版物的文献进行了范围审查.
- 与七个东地中海地区国家的国家卫生规划者进行了定性访谈.
主要成果:
- 大多数文献隐含地通过其组件而不是明确的定义来定义MOC.
- 七十八篇论文详细介绍了次国家级的MOC,通常是特定于特定条件的.
- 十二篇论文和所有受访者都强调了国家/大型次国家MOC优先考虑PHC,服务整合和以人为中心的交付.
结论:
- 以健康健康为导向的MOC的关键组成部分包括加强初级保健能力,多学科团队,强大的跨层次联系,高效的患者途径和纵向协调.
- 明确定义预期的MOC和参与实际,协调的规划对于成功的国家PHC重定向至关重要.
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