学生辅助评估和简单干预诊所的快速证据评估:缩小农村和偏远地区医疗保健的差距。

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES Journal of Health Services Research & Policy Pub Date : 2024-10-01 Epub Date: 2024-02-08 DOI:10.1177/13558196241231191
Sharon M Varela, Georgia Wells, Mason Henderson, Danielle Collins, Lynette Stenhouse, Prema Subramaniam
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引用次数: 0

摘要

目标:由于农村和偏远地区疾病和残疾负担较重,学生辅助诊所可以成为满足社区卫生需求和劳动力短缺的有效劳动力发展工具。本研究旨在确定在哪些条件下可以成功利用学生辅助诊所作为劳动力发展战略,并将其具体应用于澳大利亚偏远的昆士兰州:方法:对国际英文文献进行了快速审查。这是最适合的综述类型,因为综述结果具有时效性,因为学生辅助诊所模式即将在昆士兰州试行。研究采用了混合方法设计,并在一个数据库中试用了搜索策略:结果:11 项研究符合纳入标准。其中七项研究报告了参与者的经验数据,包括消费者、学生、服务机构/诊所以及教育者/监督者/保健专业人员。每项研究都通过实践模式(大学驱动的学习需求)、服务提供模式(通过学生劳动力满足服务驱动的需求)、社区需求模式(学生提供的服务主要满足社区健康需求)和混合模式(实践需求和社区需求)对学生辅助诊所进行了操作。一些研究报告了对服务分散、转诊途径和后续问题的担忧,另一些研究报告了对可持续资金的担忧。所有模式在关注服务或消费者健康成果或学生学习成果时都取得了成功:结论:学生辅助诊所对农村和偏远地区医疗队伍的发展做出了重要贡献。学生辅助诊所可以补充和扩展现有服务,支持受持续大流行病影响而捉襟见肘的卫生系统中的劳动力发展。
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Rapid evidence assessment of student-assisted assessment and brief intervention clinics: Addressing the gaps in rural and remote health care.

Objectives: With high disease and disability burden in rural and remote regions, student-assisted clinics can be an effective workforce development tool to meet community health needs and workforce shortages. This research sought to identify the conditions under which student-assisted clinics can be successfully utilised as a workforce development strategy, with specific application to remote Queensland, Australia.

Methods: A rapid review of the international literature in English was conducted. This was the most appropriate type of review because the results of the review were time-sensitive, with the student-assisted clinic model being trialled in Queensland soon. A mixed methods design was applied, with the search strategy piloted with one database.

Results: Eleven studies met the inclusion criteria. Seven reported data on participant experiences, including consumers, students, services/clinics, and educators/supervisors/health professionals. Each of the studies operationalised student-assisted clinics through practice models (university-driven learning need), service delivery models (service driven need addressed through a student workforce), community need models (student delivered services primarily addressing a community health need), and blended models (practice need and community need). Some studies reported concerns about fragmentation of services, referral pathways and issues with follow-up, while others reported concerns about sustainable funding. All models reported successful outcomes when focused on service or consumer health outcomes, or student learning outcomes.

Conclusions: Student-assisted clinics make an important contribution to the development of the rural and remote health workforce. Student-assisted clinics can complement and extend existing services, supporting workforce development in an overstretched health system impacted by an ongoing pandemic.

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来源期刊
CiteScore
4.40
自引率
4.20%
发文量
39
期刊介绍: Journal of Health Services Research & Policy provides a unique opportunity to explore the ideas, policies and decisions shaping health services throughout the world. Edited and peer-reviewed by experts in the field and with a high academic standard and multidisciplinary approach, readers will gain a greater understanding of the current issues in healthcare policy and research. The journal"s strong international editorial advisory board also ensures that readers obtain a truly global and insightful perspective.
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