家庭医生团队有效性的影响机制分析:混合方法。

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Anning He, Zhimin Guo, Tao Zhang, Meng Zhang, Ziling Ni
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引用次数: 0

摘要

背景:以团队为基础提供家庭医生服务与改善患者体验、提高健康水平和提高医疗保健利用效率有关。团队效率与团队产出相关,而家庭医生团队效率(FDTE)直接影响家庭医生签约服务的质量和效率。我们旨在探索影响家庭医生团队效能的路径和机制,提出改进策略,提升团队效能和服务质量:方法:采用文献综述、关键信息访谈、专家咨询和问卷调查等方法。根据 IMOI 模型设计了调查问卷,用于测量家庭医生团队效能(FDTE)及其影响因素。我们采用分层随机抽样的方法,向浙江省发达地区和欠发达地区的家庭医生发放了调查问卷。我们采用分层线性回归分析来研究团队效能与影响因素之间的关系。随后,我们利用结构方程模型(SEM)探讨并验证了 "团队输入因素"、"成员输入因素"、"团队行为过程 "和 "团队情感过程 "对团队效能的影响关系和作用机制:问卷分为五个主要部分:结果:问卷分为 "团队投入因素"、"成员投入因素"、"团队行为过程"、"团队情感过程 "和 "团队效能 "五大部分,共 11 个维度,42 个项目。共收回有效问卷 508 份。影响 FDTE 的主要因素是团队构成(β=-0.116,PConclusions:建议优化家庭医生团队的基本投入,增强团队成员的内在动力,促进团队互动与合作,营造积极的家庭医生团队工作氛围。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The influence mechanism analysis of family doctor team effectiveness: a mixed-method approach.

Background: Team-based delivery of family doctor services is associated with improved patient experiences, better health outcomes, and more efficient healthcare utilization. Team effectiveness is related to the team's output, and family doctor team effectiveness (FDTE) directly impacts the quality and efficiency of contracted family doctor services. We aimed to explore the path and mechanisms influencing FDTE, propose strategies for improvement, and enhance both team effectiveness and service quality.

Methods: The literature review, key informant interviews, expert consultation, and questionnaire survey were employed. The questionnaire, based on the input-mediator-output-input model, was designed to measure FDTE and its influencing factors. Using stratified random sampling, we distributed the questionnaire to family doctors in both developed and underdeveloped areas of Zhejiang Province, China. We performed hierarchical linear regression analysis to examine the relationship between team effectiveness and influencing factors. Subsequently, we used structural equation model (SEM) to explore and validate the relationships and mechanisms of action among "team input factors," "member input factors," "team behavioral process," and "team emotional process" on team effectiveness.

Results: The questionnaire was divided into five main sections: "team input factors," "member input factors," "team behavioral process," "team emotional process," and "team effectiveness," with 11 dimensions and 42 items. A total of 508 valid questionnaires were returned. The main factors influencing FDTE are team composition (β = -0.116, P < .01), goals and systems (β = 0.165, P < .01), cooperative attitude (β = 0.123, P < .05), team behavioral process (β = 0.161, P < .001), and team emotional process (β = 0.193, P < .001). SEM analysis revealed that team input factors, member input factors, and team behavioral process had direct and indirect effects on team effectiveness, while the team emotional process had a direct effect.

Conclusions: It is recommended to optimize the basic inputs of family doctor teams, enhance the intrinsic motivation of team members, promote team interaction and cooperation, and foster a positive atmosphere for family doctor teamwork.

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来源期刊
CiteScore
4.90
自引率
3.80%
发文量
87
审稿时长
6-12 weeks
期刊介绍: The International Journal for Quality in Health Care makes activities and research related to quality and safety in health care available to a worldwide readership. The Journal publishes papers in all disciplines related to the quality and safety of health care, including health services research, health care evaluation, technology assessment, health economics, utilization review, cost containment, and nursing care research, as well as clinical research related to quality of care. This peer-reviewed journal is truly interdisciplinary and includes contributions from representatives of all health professions such as doctors, nurses, quality assurance professionals, managers, politicians, social workers, and therapists, as well as researchers from health-related backgrounds.
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