Haas Sheila A, Vlasses Frances, Havey Julia
Nurs Econ. 2016 May-Jun;34(3):126-33.
There are multiple demands and challenges inherent in establishing staffing models in ambulatory heath care settings today. If health care administrators establish a supportive physical and interpersonal health care environment, and develop high-performing interprofessional teams and staffing models and electronic documentation systems that track performance, patients will have more opportunities to receive safe, high-quality evidence-based care that encourages patient participation in decision making, as well as provision of their care. The health care organization must be aligned and responsive to the community within which it resides, fully invested in population health management, and continuously scanning the environment for competitive, regulatory, and external environmental risks. All of these challenges require highly competent providers willing to change attitudes and culture such as movement toward collaborative practice among the interprofessional team including the patient.
如今，在门诊医疗环境中建立人员配置模式存在多种内在需求和挑战。如果医疗保健管理人员建立一个支持性的物理和人际医疗保健环境，开发高效的跨专业团队、人员配置模式以及跟踪绩效的电子文档系统，患者将有更多机会获得安全、高质量的循证护理，这种护理鼓励患者参与决策以及接受护理服务。医疗保健组织必须与所在社区保持一致并做出响应，全力投入人群健康管理，并持续审视环境以应对竞争、监管及外部环境风险。所有这些挑战都需要高素质的医疗服务提供者愿意改变态度和文化，比如朝着包括患者在内的跨专业团队之间的协作实践转变。
