全科医疗中的家庭支持
Family support in general practice.
作者信息
Goodhart C, Layzell S, Cook A, Graffy J
机构信息
Department of General Practice and Primary Care, Queen Mary and Westfield College, London.
出版信息
J R Soc Med. 1999 Oct;92(10):525-8. doi: 10.1177/014107689909201009.
At a time when social services are overburdened in Britain, family support in general practice offers one way to fill the gap. In the Well Family Project, a 'family support coordinator' worked within a general practice in Hackney, London. In the first eighteen months she saw 113 clients. Evaluation was by semistructured interviews with a sample of these clients and with professional workers. Comments from those interviewed indicate that the family support was valued. The general practice base was convenient and non-stigmatizing. By adopting a proactive approach, the project was able to work with clients who had previously 'slipped through the net'. Some of the professionals interviewed would have liked to provide the same help, but were unable to do so because of time and other constraints. Family support provided through general practice was well received by vulnerable families. Although there was overlap with the remit of health visitors and social workers, the protected time and the independence of the coordinator enabled clients to obtain the help they wanted. The replicability of this strategy now needs to be assessed.
在英国社会服务负担过重的时期，全科医疗中的家庭支持提供了一种填补空白的方式。在“健康家庭项目”中，一名“家庭支持协调员”在伦敦哈克尼的一家全科诊所工作。在最初的18个月里，她接待了113名客户。通过对这些客户和专业工作人员的样本进行半结构化访谈来进行评估。受访者的评论表明，家庭支持受到重视。全科医疗的基础便利且无污名化。通过采取积极主动的方法，该项目能够与之前“逃脱监管”的客户合作。一些接受采访的专业人员本想提供同样的帮助，但由于时间和其他限制而无法做到。通过全科医疗提供的家庭支持受到了弱势家庭的欢迎。尽管与健康访视员和社会工作者的职责存在重叠，但协调员有保障的时间和独立性使客户能够获得他们想要的帮助。现在需要评估这一策略的可复制性。
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