医疗保健系统层面协调的障碍和推动者

IF 2.7 Q2 PUBLIC ADMINISTRATION
Christian Gadolin, Erik Eriksson
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引用次数: 0

摘要

为了确保资源的有效利用和提供高质量的医疗服务,全球各级医疗系统之间的协调势在必行。关于医疗保健协调的大量研究主要涉及跨专业和组织领域的协调。因此,缺乏旨在描述卫生保健系统各级协调的决定因素的实证研究。本文描述并分析了在人口稠密的瑞典地区,跨越国家、地区和地方系统级别的卫生保健协调的障碍和使能因素。个人访谈和焦点小组讨论,共包括63个人,与管理人员,行政人员和政治家进行。论文的研究结果强调指出,所确定的障碍通常是结构性或体制性的,而所研究的跨层次协调的促成因素大多是关系性的。因此,我们建议未来的研究应该旨在进一步描述个人关系出现的先决条件,以及它们如何作为跨医疗系统级别协调的推动者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Barriers and enablers of coordination across healthcare system levels

Barriers and enablers of coordination across healthcare system levels

Coordination across healthcare system levels is a global imperative to ensure efficient resource utilization and provide high-quality care. The substantial body of research on coordination in healthcare mainly concerns coordination across professional and organizational domains. Consequently, there is a dearth of empirical research aimed at delineating the determinants of coordination across healthcare system levels. This paper describes and analyses the barriers and enablers of healthcare coordination across national, regional, and local system levels in a populous Swedish region. Individual interviews and focus group discussions, encompassing a total of 63 individuals, were conducted with managers, administrators, and politicians. The findings of the paper underscore that the barriers identified were most often of a structural or institutional character, whereas the enablers of the studied cross-level coordination were mostly relational. Therefore, we propose that future research should aim to further delineate the prerequisites for personal relationships to emerge, as well as how they may act as enablers of coordination across healthcare system levels.

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来源期刊
Journal of Public Affairs
Journal of Public Affairs PUBLIC ADMINISTRATION-
CiteScore
7.10
自引率
3.80%
发文量
41
期刊介绍: The Journal of Public Affairs provides an international forum for refereed papers, case studies and reviews on the latest developments, practice and thinking in government relations, public affairs, and political marketing. The Journal is guided by the twin objectives of publishing submissions of the utmost relevance to the day-to-day practice of communication specialists, and promoting the highest standards of intellectual rigour.
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