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营造跨学科协作专业实践的文化氛围。

Creating a Culture for Interdisciplinary Collaborative Professional Practice.

作者信息

Orchard C A, Curran V, Kabene S

机构信息

a School of Nursing, Faculty of Health Sciences The University of Western Ontario.

b Centre for Collaborative Health Professional Education, Faculty of Medicine Memorial University of Newfoundland.

出版信息

Med Educ Online. 2005 Dec;10(1):4387. doi: 10.3402/meo.v10i.4387.

Abstract

The future of the health system is dependent on health professionals re-tooling the way we practice together. No longer can a multi-disciplinary model support the complex health needs of many clients nor can any one-health profession have all the knowledge needed to provide total patient-centred care. However, our current education and health systems are structured around a multidisciplinary model of practice with physicians or nurse practitioners as decision-makers and rarely are clients included in care planning. True interdisciplinary practice is defined as a partnership between a team of health professionals and a client in a participatory, collaborative and coordinated approach to shared decision-making around health issues, requires a revamping of how future health professionals are educated and how the system can accommodate shared decision-making. A client-centered collaborative professional practice model is proposed in this paper as a means for fostering and facilitating the culture for this change.

摘要

卫生系统的未来取决于卫生专业人员重新调整我们共同执业的方式。多学科模式已无法满足众多服务对象复杂的健康需求,任何单一的卫生专业也不可能具备提供全面以患者为中心护理所需的所有知识。然而,我们当前的教育和卫生系统是围绕以医生或执业护士为决策者的多学科执业模式构建的,服务对象很少被纳入护理计划。真正的跨学科实践被定义为一组卫生专业人员与服务对象之间建立伙伴关系,以参与式、协作式和协调式方法围绕健康问题进行共同决策,这需要对未来卫生专业人员的教育方式以及系统如何适应共同决策进行改革。本文提出了一种以服务对象为中心的协作式专业执业模式,作为培育和促进这种变革文化的一种手段。

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