在丹麦,全科医生与健康访视员之间就值得关注的儿童问题开展合作:一项定性研究。

IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Rebekka Consuelo Eið, Sarah Strøyer de Voss, Philip Wilson, Gritt Overbeck
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引用次数: 0

摘要

初级卫生保健服务负责采取预防措施,优化儿童生命最初几年的发展。在丹麦,这些服务由全科医生和市政健康访视员共同承担。国家指导方针规定这些专业人员必须相互协作,但实际上,他们是并行工作的。我们的目的是探索专业人员如何就儿童的健康问题进行合作和沟通。我们对全科医生和健康访视员进行了 17 次半结构式访谈。这两个专业都认为更紧密的合作对于满足儿童的需求非常重要。合作与交流的障碍包括不同的法律义务、信息技术系统(IT)、缺乏经济激励、缺乏专业上的相互承认和尊重,以及缺乏分享知识的常规。医生和护士之间的传统职责分工,即所有参与儿童预防保健的专业人员都要接受文化教育,这似乎阻碍了基于不平等专业地位的合作。信息技术基础设施需要支持信息共享,结构需要支持专业人员之间的非正式会议,以支持更多的合作实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Collaboration between general practitioners and health visitors about children of concern in Denmark: a qualitative study.

Primary health care services are responsible for preventive measures to optimize child development in the first years of life. In Denmark, these services are shared between general practitioners and municipality health visitors. National guidelines mandate collaboration between these professionals but in reality, they work in parallel. We aimed to explore how professionals experience collaboration and communication regarding children with professional concern about their wellbeing. Seventeen semi-structured interviews were conducted with general practitioners, and health visitors. Both professions considered closer collaboration to be important in meeting children's needs. Barriers to collaboration and communication included differing legal obligations, Information Technology-systems (IT), lack of financial incentives, lack of mutual professional acknowledgment and respect, and absence of routines for sharing knowledge. The traditional division of responsibilities between physicians and nurses in which all professionals involved in preventive child health care are acculturated seems to impede collaboration based on unequal professional status. IT infrastructure needs to support information sharing and structures to support informal meetings between professionals are warranted to support more collaborative practice.

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来源期刊
Journal of Interprofessional Care
Journal of Interprofessional Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
5.80
自引率
14.80%
发文量
124
审稿时长
6-12 weeks
期刊介绍: The Journal of Interprofessional Care disseminates research and new developments in the field of interprofessional education and practice. We welcome contributions containing an explicit interprofessional focus, and involving a range of settings, professions, and fields. Areas of practice covered include primary, community and hospital care, health education and public health, and beyond health and social care into fields such as criminal justice and primary/elementary education. Papers introducing additional interprofessional views, for example, from a community development or environmental design perspective, are welcome. The Journal is disseminated internationally and encourages submissions from around the world.
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