Facilitators and barriers to delivering an optimal specialist service: an example from cleft lip and/or palate care

Q4 Medicine
N. Stock, Fabio Zucchelli, Vanessa Hammond, N. Hudson, D. Sell
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引用次数: 0

Abstract

Despite published standards of care, inequities and variations in specialist care delivery in the UK have been identified. Using cleft lip and palate services as an example, this study aims to identify potential facilitators and common barriers to delivering an optimal specialist service. Individual interviews were conducted with 50 specialist clinicians, representing all 16 NHS cleft lip and palate services in the UK. Responses were analysed thematically. A range of barriers to optimal care were identified, including working within a restrictive medical model, declining resources and an insufficient evidence base. To facilitate optimal care delivery, participants described a need to share best practice, partner with academics to demonstrate service effectiveness, use technology in clinic and authentically integrate patient-centred care. Commissioners need to work more closely with specialist teams to ensure that resources are allocated based on need, with the view of optimising service delivery and patient outcomes.
提供最佳专科服务的促进因素和障碍:以唇裂和/或腭裂护理为例
尽管公布了护理标准,但英国的专科护理服务仍存在不公平和差异。本研究以唇腭裂服务为例,旨在确定提供最佳专科服务的潜在推动者和常见障碍。对50名专业临床医生进行了个人访谈,他们代表了英国所有16家NHS唇腭裂服务机构。确定了最佳护理的一系列障碍,包括在限制性医疗模式下工作、资源减少和证据基础不足。为了促进最佳护理提供,参与者描述了分享最佳实践、与学者合作以证明服务有效性、在临床中使用技术以及真正整合以患者为中心的护理的必要性。专员需要与专家团队更密切地合作,确保根据需要分配资源,以优化服务提供和患者结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
95
期刊介绍: British Journal of Healthcare Management (BJHCM) is the independent monthly journal which is essential reading for all health service managers, policymakers, influencers and commentators. Launched in 1995, BJHCM mixes peer-reviewed management articles with interviews, analysis and comment to bring you a sharp, topical and valuable insight into what"s happening in and around the NHS. To reflect the way that the NHS is changing, the journal has recently received a major face-lift and several new features now appear alongside BJHCM"s excellent state-of-the-art review articles and celebrated columnists.
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