加泰罗尼亚的综合医疗和社会家庭护理服务：专业人员对其实施、障碍和促进因素的看法。

IF 2.6 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

International Journal of Integrated Care Pub Date : 2024-04-26 eCollection Date: 2024-04-01 DOI:10.5334/ijic.7530

Pilar Hilarión, Anna Vila, Joan C Contel, Sebastià J Santaeugènia, Jordi Amblàs-Novellas, Rosa Suñol, Conxita Barbeta, Aina Plaza, Emili Vela

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引用次数: 0

摘要

引言本研究旨在评估加泰罗尼亚政府提供的综合社会和健康家庭护理服务（HCS）的实施情况，并确定综合家庭护理服务的主要障碍和促进因素：在 2020 年 12 月至 2021 年 6 月期间，分两个阶段对社会医疗服务机构（SCS）和初级医疗保健中心（PHC）认为的社会和医疗综合家庭护理服务的实施程度进行分析。首先，使用筛选问卷对社会医疗服务机构和初级卫生保健中心的社工对整合的看法进行评估。然后，整合得分最高的县的医务人员接受定制问卷进行深入评估：共有 105 家（100%）保健服务机构和 94 家（25%）初级保健中心回答了筛选问卷，48 家（45.7%）保健服务机构收到了定制问卷。最常见的障碍是缺乏共同的规程，最常见的促进因素是认识到综合保健服务的重要性：我们的研究表明，加泰罗尼亚政府提供的综合健康和社会保健服务的实施程度较低。所发现的障碍和促进因素可以用来促进这种实施。进一步的研究应将社工以外的专业人员纳入初级保健评估。

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Integrated Health and Social Home Care Services in Catalonia: Professionals' Perception of its Implementation, Barriers, and Facilitators.

Introduction: This study aimed to assess the implementation of integrated social and health home care services (HCS) offered by the Government of Catalonia, and to identify the main barriers and facilitators of integrated HCS.

Methods: Analysis of the degree of implementation of integrated social and health HCS perceived by social care services (SCS) and primary health care centers (PHCs) between December 2020 and June 2021 in two phases. First, the perception of integration by social workers within SCS and PHCs was assessed using a screening questionnaire. Then, SCS in counties with the highest integration scores received a customized questionnaire for an in-depth assessment.

Results: A total of 105 (100%) SCS and 94 (25%) PHCs answered the screening questionnaire, and 48 (45.7%) SCS received a customized questionnaire. The most frequent barrier identified was the lack of shared protocols, with the most frequent facilitator being the recognition of the importance of integrated HCS.

Conclusions: Our study showed that the degree of implementation of integrated health and social HCS offered by the Government of Catalonia was perceived as low. The identified barriers and facilitators can be used to facilitate such implementation. Further studies should include professionals other than social workers in PHC assessments.

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来源期刊

International Journal of Integrated Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

3.80

自引率

8.30%

发文量

887

审稿时长

>12 weeks

期刊介绍： Established in 2000, IJIC’s mission is to promote integrated care as a scientific discipline. IJIC’s primary purpose is to examine critically the policy and practice of integrated care and whether and how this has impacted on quality-of-care, user experiences, and cost-effectiveness. The journal regularly publishes conference supplements and special themed editions. To find out more contact Managing Editor, Susan Royer. The Journal is supported by the International Foundation for Integrated Care (IFIC).