B. Landstad, M. Kvangarsnes, T. Hole, Nancy Walderhaug, Aasta-Marie Sveino Strand
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引用次数: 0
摘要
有复杂需求和慢性病的老年人越来越多,这是对卫生部门的一大挑战。这导致责任从专科转移到初级医疗保健部门。本研究旨在探讨医疗专业人员如何体验在基层医疗机构设立和运营市级急症病床单位(MAU)。研究于 2019 年通过有目的的抽样招募了三个医护人员焦点小组,10 名参与者来自不同的专业领域。研究采用解释学方法进行定性设计。研究结果确定了三个主题:(a)战略规划和协调服务;(b)合作实践和学习;(c)灵活和以家庭为中心的护理。医护人员体验到了医疗服务质量的提高、工作流程的改进以及相关诊断病人安全性的增强。内部和外部因素之间的相互作用似乎是在挪威中部医疗机构规划和实施 MAU 的一个成功创新。我们认为,做好应对挑战的准备是医疗服务创新的重要组成部分。拥有应对未来不可预见挑战的 "内在资本 "应该是创新的先决条件。
Municipal Acute Bed Units as a Health Service Innovation—A Qualitative Study
The growing number of older individuals with complex needs and chronic illnesses is a major challenge to the health sector. This has led to a transfer of responsibilities from specialist to the primary healthcare sector. The aim of the study was to explore how healthcare professionals experience setting up and operating a municipal acute bed unit (MAU) in primary healthcare. Three focus groups of health professionals were recruited through purposeful sampling in 2019, and the 10 participants came from different professions. The study has a qualitative design with a hermeneutic approach. The findings identified three themes: (a) Strategic planning and coordinated services, (b) collaborative practice and learning and (c) flexible and family-centred care. The healthcare personnel experienced strengthened quality in the health services, improved work processes and increased safety for patients with relevant diagnoses. The interplay between internal and external factors seems to have been a successful innovation in planning and implementing an MAU in a medical facility in Mid-Norway. We assessed that being prepared for challenges is an important part of innovation in health services. The presence of an ‘inherent capital’ to meet unforeseen challenges in the future should be a prerequisite for innovation.