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政治与专业:安大略省跨学科团队模式及其对健康公平的影响。

Politics and Professions: Interdisciplinary Team Models and Their Implications for Health Equity in Ontario.

机构信息

1 Faculty of Management, Dalhousie University, Halifax, Canada.

出版信息

Int J Health Serv. 2018 Apr;48(2):302-327. doi: 10.1177/0020731417717384. Epub 2017 Jul 9.

Abstract

Ontario's efforts to reform primary care through interdisciplinary primary care teams are unprecedented in Canada. Since 2004, the provincial government has focused its reform efforts on three models: Family Health Teams (FHTs), Community Health Centres (CHCs), and Nurse Practitioner-led Clinics (NPLCs). These models vary by team structure, funding, and governance. I examine the strong preference for the FHT model by the government and medical profession, and the implications of this preference on health equity. The opportunity for teams to increase health equity in Ontario may be limited due to the preference for physician-centered FHTs over more egalitarian team models.

摘要

安大略省通过跨学科初级保健团队改革初级保健的努力在加拿大是前所未有的。自 2004 年以来,省政府一直将改革重点放在三种模式上:家庭医疗团队(FHTs)、社区健康中心(CHCs)和执业护士主导的诊所(NPLCs)。这些模式在团队结构、资金和治理方面有所不同。我考察了政府和医疗行业对 FHT 模式的强烈偏好,以及这种偏好对卫生公平的影响。由于政府更倾向于以医生为中心的 FHT 模式,而不是更平等的团队模式,团队在安大略省增加卫生公平的机会可能有限。

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