在街道一级引导康复过渡:为有复杂需求的个人分配市政服务的定性分析。

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Health Services Insights Pub Date : 2024-10-20 eCollection Date: 2024-01-01 DOI:10.1177/11786329241293347
Maren Ekenes, Eike Wehling, Olin Oldeide
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引用次数: 0

摘要

中度和重度脑损伤后,有复杂需求的患者从医院向市政康复机构的过渡是一项挑战。这项定性研究探讨了这种过渡中的市政服务分配过程。研究分析了个案工作者将患者的偏好和需求、医疗服务提供者的建议和市政指南与服务分配相结合的综合任务。数据包括患者的健康记录、会议观察以及对市政工作人员、患者和近亲进行的半结构化访谈。结果表明,最受关注的问题是患者继续市政康复的地点。市政个案工作者收集了大量信息,包括医疗服务提供者的建议以及病人和近亲的偏好。这些信息往往与市政指南的要求和服务机构的组织结构相悖。这些差异导致了紧张局势,很难加以控制。这项研究表明,在日常服务分配实践中纳入为个人量身定制的服务可能要求很高,甚至会陷入两难境地。对有复杂康复需求的病人的过渡情况进行专门关注,有助于深入了解服务分配、用户参与和协调政策在实践中是如何执行的,并可能直接影响康复轨迹。
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Navigating Rehabilitation Transitions at Street Level: A Qualitative Analysis of Municipal Service Allocation to Individuals With Complex Needs.

The transition of patients with complex needs from hospital to municipal rehabilitation following moderate and severe brain injury is challenging. This qualitative study explored the municipal service allocation processes within such transitions. The caseworkers' comprehensive task of combining patients' preferences and needs, healthcare providers' recommendations and municipal guidelines and service allocation were analysed. Data comprised of patients' health records, meeting observations and semi-structured interviews with municipal staff, patients and next of kin. Results demonstrated that the issue of most concern was the location of where the patient was to continue municipal rehabilitation. Municipal caseworkers gathered extensive information, including recommendations from healthcare providers and preferences of patients and next of kin. These were frequently in contrast to the municipal guidelines' requirements and the services' organisational structure. The discrepancies led to tension, which was difficult to manoeuvre. This study indicates that incorporating individually tailored services into the daily service allocation practice can be demanding and even dilemmatic. The designated focus on the transition of patients with complex rehabilitation needs gives insights into how service allocation, user involvement and coordination policies are acted out in practice and may directly influence rehabilitation trajectories.

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来源期刊
Health Services Insights
Health Services Insights HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.60
自引率
0.00%
发文量
47
审稿时长
8 weeks
期刊最新文献
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