在夸祖鲁-纳塔尔省农村地区实施理想诊所实现与维护计划。

IF 1.2 Q4 PRIMARY HEALTH CARE
Donald T Mhlungu, Geertien C Boersema, Mokholelana M Ramukumba
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引用次数: 0

摘要

背景: 提供优质的初级卫生保健(PHC)服务对提高农村社区的健康状况至关重要,但在资源有限的农村环境中却始终存在障碍。目的:本研究探讨了在夸祖鲁-纳塔尔省农村分区实施理想诊所实现与维护(ICRM)计划作为质量保证举措的障碍和促进因素: 来自夸祖鲁-纳塔尔省一个农村分区的七家初级保健诊所的专业护士和医疗保健管理人员以及一家地区医院的主管经理参与了这项研究: 采用定性案例研究的方法,对特意选取的样本进行了半结构化电话访谈。对数据进行了归纳和主题分析: 结果:主题包括 ICRM 计划的组织、实施 ICRM 计划的障碍和促进因素。农村初级保健中心面临的障碍包括诊所负担过重、基础设施不完善、员工倦怠、沟通不畅和不遵守临床指南。尽管存在障碍,但利益相关者的支持和团队合作促进了计划的实施。与会者强调,需要对基础设施进行升级,提供更多人力和物力资源,并保持利益相关者的支持: 结论:如果能够缓解挑战并利用有利因素,那么计划的成功实施和医疗服务的改善将使医疗服务提供者和受助者受益:贡献:通过深入了解实施者和监督者的观点,本研究向利益相关者和政策制定者介绍了在农村初级保健中心实施 ICRM 计划过程中遇到的困难和可能的改进措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ideal Clinic Realisation and Maintenance programme implementation in rural KwaZulu-Natal.

Background:  The delivery of quality primary healthcare (PHC) services is vital for enhancing the health status of rural communities, yet persistent barriers exist in resource-constrained rural settings.

Aim:  The study explored perspectives on the barriers to and facilitators of implementing the Ideal Clinic Realisation and Maintenance (ICRM) programme as a quality assurance initiative in a rural KwaZulu-Natal subdistrict.

Setting:  Professional nurses and healthcare managers from seven PHC clinics in a rural subdistrict of KwaZulu-Natal and supervising managers from a district hospital participated in this study.

Methods:  Telephonic semi-structured interviews were conducted using a qualitative case study approach with the purposively selected sample. Data were inductively and thematically analysed.

Results:  Themes included ICRM programme organisation, barriers and facilitators for implementing the ICRM programme. Barriers in rural PHC settings included overburdened clinics, suboptimal infrastructure, staff burnout, poor communication and non-adherence to clinical guidelines. Despite obstacles, programme implementation was facilitated through stakeholder support and teamwork. Participants emphasised the need for infrastructure upgrades, more human and physical resources, and maintenance of stakeholder support.

Conclusion:  If challenges are mitigated and supportive factors are leveraged, the potential for successful programme implementation and improved healthcare delivery can benefit both healthcare providers and recipients.Contribution: Through providing insight into the perspectives of both implementers and supervisors, the study informs stakeholders and policymakers about difficulties encountered and potential improvements to be made in the implementation of the ICRM programme in rural PHC.

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来源期刊
CiteScore
3.30
自引率
10.00%
发文量
81
审稿时长
15 weeks
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