全科医生参与:指导澳大利亚基层医疗网络参与活动的建议模式》(A Proposed Model to Guide Engagement Activities in Australian Primary Health Networks)。

IF 3 Q1 PRIMARY HEALTH CARE
Chris Barton, Susan Saldanha, Riki Lane, Sharon Clifford, Nidhi Achar, Grant Russell
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引用次数: 0

摘要

背景:与全科医生合作是澳大利亚初级医疗网络(PHN)的一项要求。我们提出了一种参与模式,该模式借鉴了利益相关者和临床医生参与的原则,并根据初级医疗网络和全科医生(GP)的需求进行了调整:方法:我们进行了全面的文献综述,以确定优化临床医生参与的要素、挑战和方法。在澳大利亚维多利亚州的 3 个公共卫生网络地区采访了全科医生(18 人)、其他医务人员(12 人)、公共卫生网络工作人员和其他利益相关者(15 人),以确定全科医生的需求以及与公共卫生网络合作的机会。我们使用 QSR NVivo 对访谈记录、笔记和联系摘要进行了整理和组织,以支持编码和识别共同主题和观点的过程。我们对文献和访谈中的信息进行了综合,以便为全科医生参与模式的开发提供信息,该模式可以指导全科医生的策略和公共卫生网络开展的参与活动:公共卫生网络与全科医生的合作包括资格认证、质量改进、数据共享、继续职业发展、委托管理和人口健康计划等。全科医生有动力与公共卫生护士合作,但是,公共卫生护士的作用和合作的益处并不总是很明确。我们建立了一个支持公共卫生网络与全科医生合作的模式,包括:(1)合作的组织价值;(2)全科医生的需求;(3)合作领域;(4)合作阶段;(5)沟通计划;以及(6)监测与评估:结论:所提出的模式代表了当代对临床医生参与的理解,借鉴了社区和利益相关者参与的概念,并将既有的参与模式扩展到全科医学领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
GP Engagement: A Proposed Model to Guide Engagement Activities in Australian Primary Health Networks.

Background: Engagement with general practice is a requirement of Australia's Primary Health Networks (PHNs). We propose a model for engagement that draws on principles of stakeholder and clinician engagement, tailored to meet the needs of PHNs and general practitioners (GPs).

Methods: A comprehensive literature review was undertaken to identify components, challenges, and approaches to optimizing clinician engagement. Interviews with GPs (n = 18), other practice staff (n = 12), PHN staff, and other stakeholders (n = 15) across 3 PHN regions in Victoria, Australia, were used to identify perceived needs of GPs and opportunities for engagement with PHNs. Interview transcripts, notes, and contact summaries were collated and organized using QSR NVivo to support the process of coding and identification of common themes and perspectives. Information from the literature and interviews was synthesized to inform development of a model for GP engagement that could guide GP strategy and engagement activities undertaken by PHNs.

Findings: PHNs engaged with GPs for accreditation, quality improvement, data sharing, continuing professional development, commissioning, and population health initiatives, among others. GPs were motivated to engage with PHNs, however, the roles of PHNs and benefits of engagement were not always clear. A model to support PHN engagement with general practice was developed comprising: (1) Organizational values for engagement; (2) Needs of GPs; (3) Areas of engagement; (4) Stages of engagement; (5) Communication planning; and (6) Monitoring and Evaluation.

Conclusion: The proposed model represents contemporary understanding in clinician engagement, drawing upon concepts from community and stakeholder engagement, and extending established models for engagement into the setting of general practice.

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来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
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