建立关系,形成合作:从寻求医疗保健解决方案的非会议中汲取的经验教训

IF 3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Brenda M. Y. Leung, Helen Kelley, Angie Nikoleychuk, Gabrielle Kirk, Fatemeh Salehi Shahrabi, Victoria Hecker, Nolan Schaaf
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引用次数: 0

摘要

导言:随着医疗保健危机的持续,加拿大各地都在呼吁对医疗保健服务的提供进行 "重大反思"。应对危机挑战的建议策略包括:以患者为中心、以社区为基础的跨学科方法;由患者、护理人员、医疗服务提供者、决策者和政策制定者组成的代表性团队;以及利益相关群体在整个研究周期中的真正合作。 目标 本研究旨在使社区成员在能力建设中发挥主导作用,并在尊重社区智慧、价值观和优先事项的同时,为不同群体之间的讨论提供空间。 方法 南阿尔伯塔省合作健康研究所(CHRISA)组织了一次以参与者为导向的 Unconference 活动,以解决导致加拿大阿尔伯塔省医疗危机的因素。Unconference 是一种以参与者为导向的会议,由与会者提名主题、商定议程并主持会议。本文介绍了 Unconference 计划,并对分组会议的讨论记录、与会者的反馈意见(即经验教训)进行了专题分析,同时为今后的 Unconference 活动提出了务实的建议。 会议结果 会议结果包括以下内容:(1) 确定 "邪恶 "问题,(2) 造成每个问题的因素/原因(即促成因素),(3) 解决问题的潜在多方面办法或想法。从会后评估中汲取的经验教训为今后组织 Unconferences 提出了六项建议。 结论 CHRISA Unconference 实现了其目标,为与会者提供了一个就感兴趣的话题进行交流、接触和联络的场所,探索了应对医疗保健挑战的新方法,并为未来医疗保健研究和实践中的倡议与合作奠定了基础。 患者或公众的贡献 出席本次非会议的有以患者身份与会的社区成员、一线工作者、项目管理人员以及公共组织和机构的代表。与会者参与了分组讨论,提供了对会议的反馈意见,并对今后的活动提出了建议。本报告的共同作者是服务使用者、有生活经验者或在医疗机构工作的人员;他们参与了数据收集、分析和解释工作,并为本报告做出了贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Building Relationships, Forming Collaborations: Lessons Learned From an Unconference Seeking to Cultivate Solutions in Healthcare

Introduction

Calls for a ‘major rethinking’ of the delivery of healthcare services are echoed across Canada as the healthcare crisis continues. Proposed strategies to address the challenges of this crisis include: a transdisciplinary approach that is patient-focused and community-based; a representative team composed of patients, caregivers, healthcare providers, decision makers and policymakers; and authentic collaboration among stakeholder groups throughout the research cycle.

Objective

This study aimed to enable community members to take on a leading role in building capacity and to provide a space for discourse among diverse groups while respecting community wisdom, values and priorities.

Methods

The Collaborative Health Research Institute of Southern Alberta (CHRISA) organized a participant-oriented Unconference event to address the factors contributing to the healthcare crisis in Alberta, Canada. An Unconference is a participant-oriented meeting where the attendees nominate the topics, agree on the agenda and lead the sessions. This article describes the Unconference programme and presents the findings from a thematic analysis of the discussion notes from breakout sessions, feedback from participants (i.e., lessons learned) and pragmatic recommendations for future Unconference events.

Results

Findings from sessions included the following: (1) identifying the ‘wicked’ problems, (2) the factors/causes contributing to each problem (i.e., contributors) and (3) potential multifaceted solutions or ideas to remedy the problem. Lessons learned from the postevent evaluation resulted in six recommendations for organizing future Unconferences.

Conclusion

The CHRISA Unconference achieved its goals by providing a venue for attendees to connect, engage and network on topics of interest, explore new ways of addressing challenges in healthcare and serve as a foundation for future initiatives and collaborations in healthcare research and practice.

Patient or Public Contribution

The Unconference was attended by community members who identify as patients, frontline workers, programme administrators and representatives of public organizations and agencies. Participants contributed to breakout session discussions, provided feedback on the Unconference and offered recommendations for future events. The co-authors are service users, people with lived experience or those work in the healthcare setting; they have been involved in data collection, analysis and interpretation, and contributed to this report.

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来源期刊
Health Expectations
Health Expectations 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.20
自引率
9.40%
发文量
251
审稿时长
>12 weeks
期刊介绍: Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.
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