初级卫生保健中专业协作衡量标准的制定。
Development of a measure of professional collaboration in primary health care.
作者信息
Gregson B A, Cartlidge A M, Bond J
机构信息
Centre for Health Services Research, University of Newcastle upon Tyne, United Kingdom.
出版信息
J Epidemiol Community Health. 1992 Feb;46(1):48-53. doi: 10.1136/jech.46.1.48.
STUDY OBJECTIVE
The aim was to develop indices of the degree of collaboration between district nurses, general practitioners, and health visitors.
DESIGN
Semistructured interviews were conducted with each member of a pair of professionals who had patients in common. In each district a stratified random sample of six general practitioners and six community nurses was drawn, and for each a "partner" of the other profession was sampled.
SETTING
A stratified random sample of 20 district health authorities in England.
PARTICIPANTS
Complete interviews were obtained with 148 doctor-nurse and 161 doctor-health visitor pairs.
MAIN RESULTS
Only 27% of general practitioners and district nurses with patients in common and 11% of general practitioners and health visitors collaborate. Stepwise logistic discriminant analysis was used to develop measures of collaboration between general practitioners and district nurses and between general practitioners and health visitors. The indices of collaboration were calculated from the responses of the community nurse to at most 10 questions.
CONCLUSIONS
The indices developed here might be used as a measure of one aspect of the quality of service offered by a primary health care team or to assess the effect of changes in working patterns or the degree of collaboration within the organisation.
研究目的
旨在制定地区护士、全科医生和健康访视员之间合作程度的指标。
设计
对有共同患者的一对专业人员中的每位成员进行半结构化访谈。在每个地区，抽取由六名全科医生和六名社区护士组成的分层随机样本，为每位全科医生抽取一名另一专业的“搭档”。
研究背景
对英格兰20个地区卫生当局进行分层随机抽样。
参与者
获得了148对医生 - 护士和161对医生 - 健康访视员的完整访谈。
主要结果
有共同患者的全科医生和地区护士中只有27% 以及全科医生和健康访视员中只有11% 会进行合作。采用逐步逻辑判别分析来制定全科医生与地区护士之间以及全科医生与健康访视员之间的合作度量。合作指标根据社区护士对最多10个问题的回答来计算。
结论
这里制定的指标可用于衡量初级卫生保健团队提供的服务质量的一个方面，或评估工作模式变化的影响或组织内的合作程度。
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