Aggarwal A K, Zairi M
Meltham Road Surgery, Huddersfield, UK.
Int J Health Care Qual Assur Inc Leadersh Health Serv. 1998;11(1):7-13. doi: 10.1108/09526869810199593.
This is the second part in a paper which studied the dynamics of primary health care provision. This paper examines external factors related to the management of General Practices. The study revealed that there are major problems at GP/FHSA interfaces involving poor communications, needs evaluation and understanding, and the lack of teamwork. The paper argues that attempts by FHSAs in terms of initiatives are so far failing and have not effectively been able to build strong partnerships between the parties concerned. The paper concludes by proposing a Model of Total Partnership for effective primary health care provision. The model suggests that structures need to be modified in a horizontal way, focusing on patients and building a collaborative way between FHSAs and GPs in a seamless fashion. The model is based on Total Quality Management (TQM) principles and is represented by the building of a customer-supplier chain, the spirit of continuous improvement and synergy through teamwork with the ultimate goal of Total Patient Satisfaction.
这是一篇研究初级卫生保健服务动态的论文的第二部分。本文探讨了与全科医疗管理相关的外部因素。研究表明，在全科医生/家庭健康服务局的接口处存在重大问题，包括沟通不畅、需求评估与理解不足以及缺乏团队合作。该论文认为，家庭健康服务局在采取主动行动方面迄今未能成功，未能有效地在相关各方之间建立牢固的伙伴关系。论文最后提出了一个有效的初级卫生保健服务全面伙伴关系模型。该模型表明，结构需要以横向方式进行调整，以患者为重点，并以无缝方式在家庭健康服务局和全科医生之间建立协作方式。该模型基于全面质量管理（TQM）原则，以建立客户-供应商链、持续改进精神以及通过团队合作实现协同增效为代表，最终目标是实现患者完全满意。
