Jiwa Moyez, Chan Wendy, Ross Jackie, Shaw Tim, Magin Parker J
Curtin Health Innovation Research Institute, Curtin University of Technology, Perth, Western Australia.
Aust Fam Physician. 2011 Jan-Feb;40(1-2):72-5.
A 'communities of practice' (CoP) approach has the potential to address quality improvement issues and facilitate research in general practice by engaging those most intimately involved in delivering services - the health professionals.
This article outlines the CoP approach and discusses some of the challenges involved in using this approach to raise standards in general practice and how these challenges might be addressed.
General practitioner insight needs to be harnessed in order to develop solutions that are conceived in, and informed by, clinical practice. A CoP approach provides control to the practitioners over selection of the most relevant research question and outcome measure. However, the method is challenging as it requires a focus that is suitable, that motivates the participants, and effective management strategies and resources to support the CoP.
“实践社区”（CoP）方法有潜力通过让那些最密切参与服务提供的人员——卫生专业人员参与进来，来解决质量改进问题并促进全科医疗研究。
本文概述了CoP方法，并讨论了使用该方法提高全科医疗标准所涉及的一些挑战以及如何应对这些挑战。
需要利用全科医生的洞察力来开发源自临床实践并以临床实践为依据的解决方案。CoP方法使从业者能够控制选择最相关的研究问题和结果指标。然而，该方法具有挑战性，因为它需要合适的重点、激励参与者的因素以及有效的管理策略和资源来支持实践社区。
