扩大医疗保健组织中任务转移的范围

L. van Tuyl, B. Vrijhoef, M. Laurant, A. D. de Bont, R. Batenburg
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引用次数: 4

摘要

医疗保健领域的任务转移主要是作为应对/或缓解劳动力短缺的一种方式而启动和研究的。在这里,我们将任务转移定义为任务的结构性再分配,通常包括不同职业之间的责任和能力。因此,任务转移通常集中在高度专业化和训练有素的专业人员身上,他们将特定的标准化任务交给教育水平较低的专业人员。预计这种类型的任务转移将为医疗保健组织带来效率和成本节约。然而,任务转移有更多的好处,特别是它对以患者为中心的综合护理质量和满足社会不断变化的护理需求的量身定制系统的贡献。因此,扩大任务转移的范围,其目标,表现形式以及任务转移如何在解决医疗保健系统的优势和劣势方面发挥作用的重要性。在这篇重点文章中,讨论了任务转移的趋势和条件及其(非)预期影响。我们认为,只有在设计时面对工作场所的特定复杂性,并考虑到专家和通才之间的平衡,任务转移可能会大大有助于提高护理质量,以满足不断变化的社会需求。
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Broadening the scope of task shifting in the organisation of healthcare
Task shifting in healthcare has mainly been initiated and studied as a way to react to/or mitigate workforce shortages. Here, we define task shifting as the structural redistribution of tasks, usually including responsibilities and competencies between different professions. As such, task shifting is commonly focused on highly specialised and trained professionals who hand-over specific, standardised tasks to professionals with lower levels of education. It is expected that this type of task shifting will lead to efficiency and cost savings to healthcare organisations. Yet, there are more benefits to task shifting, in particular its contribution to integrated patient-centred quality of care and a tailored system that meets the changing care demands in society. Hence the importance to broaden the scope of task shifting, its goals, manifestations and how task shifting plays a role in addressing both the strengths and weaknesses in the healthcare system. In this focus piece, trends and conditions for task shifting and its (un)anticipated effects are discussed. We argue that, only when designed to face specific complexities at the workplace and taking into account the balance between specialists and generalists, task shifting may substantially contribute to enhanced quality of care that meets the changing needs of society.
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来源期刊
CiteScore
3.10
自引率
14.30%
发文量
15
期刊介绍: The International Journal of Care Coordination (formerly published as the International Journal of Care Pathways) provides an international forum for the latest scientific research in care coordination. The Journal publishes peer-reviewed original articles which describe basic research to a multidisciplinary field as well as other broader approaches and strategies hypothesized to improve care coordination. The Journal offers insightful overviews and reflections on innovation, underlying issues, and thought provoking opinion pieces in related fields. Articles from multidisciplinary fields are welcomed from leading health care academics and policy-makers. Published articles types include original research, reviews, guidelines papers, book reviews, and news items.
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