奥地利的初级保健:从保健和社会专业人员的角度对专业间合作的要求和挑战进行定性分析。

Ana Atalaia, Clemens J Schnegg, Johanna Bodenhofer, Babette Grabner, Melanie Roth
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引用次数: 0

摘要

背景:在奥地利新成立的初级卫生保健单位(PHCU)提供的初级卫生保健(PHC)是基于卫生保健和社会专业人员之间的跨专业合作(IPC)。目的:本研究旨在从卫生保健和社会专业人士的角度探讨奥地利初级保健大学IPC的要求和挑战。方法:采用15个半标准化、在线、单专业焦点小组访谈,共采访了58名专业人员,他们的专业背景包括:生物医学、营养学、医学培训治疗、医学、助产学、护理学、职业治疗、办公室辅助、矫形学、药学、物理治疗、心理治疗、放射学、社会工作和语言治疗。参加者是来自初级保健业界(特别是初级保健院校)、各教育机构和专业团体的代表。采用定性含量分析法对数据进行归纳分析。研究发现:分析显示了参与者讨论的两个主要领域,IPC设置和专业关系。内容分析在主要讨论领域中分别揭示了三个和四个主题。在IPC的背景下,这些主题详细阐述了(1)在初级卫生保健中心进行IPC的操作领域,(2)初级卫生保健中心合作的结构和组织前提,以及(3)初级卫生保健中心对患者的观察益处。关于专业关系,讨论了以下主题:(1)成功的IPC, (2) IPC面临的挑战,(3)IPC所需的能力,以及(4)过去和现在相应的培训内容。结论:奥地利卫生保健和社会专业人员的目标是更多地参与初级保健,特别是初级保健单位。他们看到了机遇,也看到了挑战。需要针对奥地利phcu的独特要求进行专门的培训,并为在日益重要的环境中多个专业团体之间进行密集、必要和有益的合作而装备劳动力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Primary health care in Austria: qualitative analysis of requirements and challenges in interprofessional collaboration from the perspective of health care and social professionals.

Background: Primary health care (PHC) delivered in Austria's newly established primary health care units (PHCU) is based on interprofessional collaboration (IPC) between health care and social professionals.

Aim: This study aims to explore the requirements and challenges in IPC in Austrian PHCUs from the perspective of health care and social professionals.

Methods: 15 semi-standardized, online, mono-professional focus group interviews were conducted with a total of 58 professionals with the following backgrounds: biomedical sciences, dietetics, medical training therapy, medicine, midwifery, nursing, occupational therapy, office assistance, orthoptics, pharmacy, physiotherapy, psychotherapy, radiography, social work, and speech therapy. The participants were representatives from PHC practice (especially PHCUs), respective educational institutions, and professional organizations. The data were inductively analysed using qualitative content analysis according to Mayring.

Findings: The analysis displayed two main fields discussed by the participants, the setting for IPC and the professional relationships. The content analysis revealed three and four topics, respectively, within the main discussion fields. Within the setting for IPC, these topics were elaborated on (1) the operational area where IPC takes place in PHC, (2) the structural and organizational premises for this cooperation in PHCUs, and (3) the observed benefits of PHCUs for patients. Regarding the professional relationships, these topics were discoursed: (1) successful IPC, (2) challenges in IPC, (3) competencies required for IPC, and (4) previous and present corresponding training content.

Conclusion: Austrian health care and social professionals aim to get more involved in PHC in general and PHCUs specifically. They see opportunities and also challenges for their professional groups. Specific training is desired focusing on the unique requirements of Austrian PHCUs and equipping the workforce for the intensive, necessary, and beneficial collaboration between multiple professional groups in the increasingly important setting.

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