{"title":"短缺的解决方案:准备一个多样化和弹性的综合护理队伍。","authors":"Carrah James, David Bauman, Cory Knight","doi":"10.1037/fsh0000974","DOIUrl":null,"url":null,"abstract":"<p><p>While the current workforce shortages are alarming, lack in the face of necessity provides fertile ground for ingenuity. Integrated care (IC) holds the potential for impactful solutions and is, arguably, the best hope on the horizon for improving access to needed care. A larger workforce is necessary but not sufficient to fully address unmet needs. We need IC teams made of health care professionals who understand and are responsive to the patients and communities they serve, the dynamic and interdependent systems in which they provide care, and each other. The way forward will require us to (a) continue the shift from siloed models of professional training and health care delivery to fully integrated communities of interprofessional learning, research, and practice; (b) develop and test theoretical models upon which IC workforce development (WD) efforts can be confidently built, adapted, and systematically studied; (c) embrace all perspectives and incorporate the input and participation of patients and community stakeholders in the design/conduct of IC research, the education and training of the IC workforce, and in WD efforts like recruitment and retention practices; and (d) use systems and design thinking to engineer healthy, supportive, psychologically safe work environments where the tools, tasks, and technology support rather than hinder the work of IC. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"14-18"},"PeriodicalIF":1.2000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Shortages to Solutions: Preparing a Diverse and Resilient Integrated Care Workforce.\",\"authors\":\"Carrah James, David Bauman, Cory Knight\",\"doi\":\"10.1037/fsh0000974\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>While the current workforce shortages are alarming, lack in the face of necessity provides fertile ground for ingenuity. Integrated care (IC) holds the potential for impactful solutions and is, arguably, the best hope on the horizon for improving access to needed care. A larger workforce is necessary but not sufficient to fully address unmet needs. We need IC teams made of health care professionals who understand and are responsive to the patients and communities they serve, the dynamic and interdependent systems in which they provide care, and each other. The way forward will require us to (a) continue the shift from siloed models of professional training and health care delivery to fully integrated communities of interprofessional learning, research, and practice; (b) develop and test theoretical models upon which IC workforce development (WD) efforts can be confidently built, adapted, and systematically studied; (c) embrace all perspectives and incorporate the input and participation of patients and community stakeholders in the design/conduct of IC research, the education and training of the IC workforce, and in WD efforts like recruitment and retention practices; and (d) use systems and design thinking to engineer healthy, supportive, psychologically safe work environments where the tools, tasks, and technology support rather than hinder the work of IC. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>\",\"PeriodicalId\":55612,\"journal\":{\"name\":\"Families Systems & Health\",\"volume\":\"43 1\",\"pages\":\"14-18\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Families Systems & Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1037/fsh0000974\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"FAMILY STUDIES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Families Systems & Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1037/fsh0000974","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"FAMILY STUDIES","Score":null,"Total":0}
引用次数: 0
摘要
虽然目前的劳动力短缺令人担忧,但面对需要时的缺乏为创造力提供了肥沃的土壤。综合护理(IC)具有提供有效解决方案的潜力,可以说是改善获得所需护理的最大希望。更多的劳动力是必要的,但不足以完全解决未满足的需求。我们需要由卫生保健专业人员组成的IC团队,他们了解并响应他们所服务的患者和社区、他们提供护理的动态和相互依存的系统以及彼此。前进的道路将要求我们:(a)继续从孤立的专业培训和卫生保健提供模式转变为跨专业学习、研究和实践的完全一体化社区;(b)开发和测试理论模型,在此基础上,IC劳动力发展(WD)工作可以自信地建立、调整和系统地研究;(c)在设计/进行基建研究、基建人员的教育和培训,以及基建部门的招聘和留用措施等工作中,接纳各方面的意见,并接纳病人和社会持份者的意见和参与;(d)使用系统和设计思维来构建健康、支持性、心理安全的工作环境,其中工具、任务和技术支持而不是阻碍IC的工作。(PsycInfo Database Record (c) 2025 APA,所有权利保留)。
Shortages to Solutions: Preparing a Diverse and Resilient Integrated Care Workforce.
While the current workforce shortages are alarming, lack in the face of necessity provides fertile ground for ingenuity. Integrated care (IC) holds the potential for impactful solutions and is, arguably, the best hope on the horizon for improving access to needed care. A larger workforce is necessary but not sufficient to fully address unmet needs. We need IC teams made of health care professionals who understand and are responsive to the patients and communities they serve, the dynamic and interdependent systems in which they provide care, and each other. The way forward will require us to (a) continue the shift from siloed models of professional training and health care delivery to fully integrated communities of interprofessional learning, research, and practice; (b) develop and test theoretical models upon which IC workforce development (WD) efforts can be confidently built, adapted, and systematically studied; (c) embrace all perspectives and incorporate the input and participation of patients and community stakeholders in the design/conduct of IC research, the education and training of the IC workforce, and in WD efforts like recruitment and retention practices; and (d) use systems and design thinking to engineer healthy, supportive, psychologically safe work environments where the tools, tasks, and technology support rather than hinder the work of IC. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
Families Systems & HealthHEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
1.50
自引率
7.70%
发文量
81
审稿时长
>12 weeks
期刊介绍:
Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.