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跨专业协作能否提供卫生人力资源解决方案?知识综合评估。

Can interprofessional collaboration provide health human resources solutions? A knowledge synthesis.

机构信息

Health Systems and Workforce Research Unit, Alberta Health Services, Calgary, Alberta, Canada.

出版信息

J Interprof Care. 2012 Jul;26(4):261-8. doi: 10.3109/13561820.2012.663014. Epub 2012 Mar 5.

Abstract

Many studies examine the impact of interprofessional (IP) interventions on various health practice and education outcomes. One significant gap is the lack of research on the effects of IP interventions on health human resource (HHR) outcomes. This project synthesized the literature on the impact of IP interventions at the pre- and post-licensure levels on quality workplace, staff satisfaction, recruitment, retention, turnover, choice of employment and cost effectiveness. Forty-one peer-reviewed articles and five IECPCP project reports were included in the review. We found that IP interventions at the post-licensure level improved provider satisfaction and workplace quality. Including IP learning opportunities into practice education in rural communities or in less popular healthcare specialties attracted a higher number of students and therefore may increase employment rates. This area requires more high quality studies to firmly establish the effectiveness of IP interventions in recruiting and retaining future healthcare professionals. There is strong evidence that IP interventions at the post-licensure level reduced patient care costs. The knowledge synthesis has enhanced our understanding of the relationships between IP interventions, IP collaboration and HHR outcomes. Gaps remain in the knowledge of staff retention and determination of staffing costs associated with IP interventions vis-à-vis patient care costs. None of the studies reported long-term data on graduate employment choice, which is essential to fully establish the effectiveness of IP interventions as a HHR recruitment strategy.

摘要

许多研究都考察了跨专业(IP)干预措施对各种医疗实践和教育成果的影响。一个显著的差距是,缺乏关于 IP 干预措施对卫生人力资源(HHR)结果影响的研究。本项目综合了关于 IP 干预措施在许可前和许可后水平上对工作场所质量、员工满意度、招聘、留用、离职、就业选择和成本效益的影响的文献。该综述纳入了 41 篇同行评议文章和 5 份 IECPCP 项目报告。我们发现,许可后水平的 IP 干预措施提高了提供者的满意度和工作场所质量。在农村社区或不受欢迎的医疗保健专业领域将 IP 学习机会纳入实践教育,可以吸引更多的学生,从而可能提高就业率。这一领域需要更多高质量的研究来确定 IP 干预措施在招募和留住未来医疗保健专业人员方面的有效性。有强有力的证据表明,许可后水平的 IP 干预措施降低了患者护理成本。知识综合增强了我们对 IP 干预措施、IP 合作与 HHR 结果之间关系的理解。在 IP 干预措施与患者护理成本相关的员工留用和人员配置成本的确定方面,知识仍然存在差距。没有一项研究报告了毕业生就业选择的长期数据,这对于充分确定 IP 干预措施作为 HHR 招聘策略的有效性至关重要。

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