McWilliam Carol L, Coleman Sandra, Melito Catherine, Sweetland Donnabeth, Saidak John, Smit Jennifer, Thompson Tracey, Milak Gordon
School of Nursing, Faculty of Health Sciences, Rm.SH2345, Somerville House, University of Western Ontario, London, Ontario, N6A 3K7, Canada.
J Interprof Care. 2003 Nov;17(4):363-76. doi: 10.1080/13561820310001608195.
While partnership approaches have the potential to achieve cost-effective quality health care, several attributes of the current context make partnerships difficult to achieve. This paper provides an analysis of the socio-cultural, structural and human challenges to building partnerships at both personal and organizational levels, together with an empowering interdisciplinary approach for overcoming these barriers. Premised on empirical evidence, 'flexible client-driven care', currently being tested in the home care sector in Canada, encompasses structures and processes that promote relationship-building and conscientious critical application of individual and collective potential for achieving health care. Strategies for implementing empowering partnership-building at both personal and organizational levels are elaborated, together with the challenges encountered. The practical issues addressed afford insights and ideas for others who may be attempting to achieve similar partnership aims.
虽然伙伴关系方法有潜力实现具有成本效益的高质量医疗保健,但当前环境的几个特点使得伙伴关系难以实现。本文分析了在个人和组织层面建立伙伴关系所面临的社会文化、结构和人员方面的挑战,并提出了一种增强能力的跨学科方法来克服这些障碍。基于实证证据,目前正在加拿大居家护理部门进行测试的“灵活的以客户为导向的护理”,包含了促进建立关系以及认真批判性地运用个人和集体潜力以实现医疗保健的结构和流程。阐述了在个人和组织层面实施增强能力的伙伴关系建设的策略以及所遇到的挑战。所探讨的实际问题为其他可能试图实现类似伙伴关系目标的人提供了见解和思路。