Central Queensland University - Brisbane Campus, Brisbane, Queensland, Australia.
School of Nursing, Midwifery and Social Sciences, Central Queensland University, Brisbane, Queensland, Australia.
J Health Organ Manag. 2020 Feb 5;ahead-of-print(ahead-of-print). doi: 10.1108/JHOM-04-2019-0078.
The purpose of the paper is to explore how the national, state and organisational health policies in Australia support the implementation of person-centred care in managing chronic care conditions.
DESIGN/METHODOLOGY/APPROACH: A qualitative content analysis was performed regarding the national, state and organisational Queensland Health policies using Elo and Kyngas' (2008) framework.
Although the person-centred care as an approach is well articulated in health policies, there is still no definitive measure or approach to embedding it into operational services. Complex funding structures and competing priorities of the governments and the health organisations carry the risk that person-centred care as an approach gets lost in translation. Three themes emerged: the patient versus the government; health care delivery versus the political agenda; and health care organisational processes versus the patient.
RESEARCH LIMITATIONS/IMPLICATIONS: Given that person-centred care is the recommended approach for responding to chronic health conditions, further empirical research is required to evaluate how programs designed to deliver person-centred care achieve that objective in practice.
This research highlights the complex environment in which the person-centred approach is implemented. Short-term programmes created specifically to focus on person-centred care require the right organisational infrastructure, support and direction. This review demonstrates the need for alignment of policies related to chronic disease management at the broader organisational level.
ORIGINALITY/VALUE: Given the introduction of the nurse navigator program to take up a person-centred care approach, the review of the recent policies was undertaken to understand how they support this initiative.
本文旨在探讨澳大利亚的国家、州和组织卫生政策如何支持在管理慢性病护理条件方面实施以患者为中心的护理。
设计/方法/途径：使用 Elo 和 Kyngas（2008 年）的框架，对澳大利亚的国家、州和昆士兰州卫生组织的政策进行了定性内容分析。
尽管以患者为中心的护理作为一种方法在卫生政策中得到了很好的阐述，但仍然没有明确的措施或方法将其嵌入到运营服务中。复杂的资金结构和政府及卫生组织的优先事项存在风险，即以人为中心的护理作为一种方法可能会在实施过程中迷失方向。出现了三个主题：患者与政府；医疗保健提供与政治议程；以及医疗保健组织流程与患者。
研究局限性/影响：鉴于以患者为中心的护理是应对慢性健康状况的推荐方法，需要进一步进行实证研究，以评估旨在提供以患者为中心的护理的计划在实践中如何实现这一目标。
这项研究强调了实施以人为中心方法的复杂环境。专门创建的以以人为中心的护理为重点的短期计划需要正确的组织基础设施、支持和指导。本次审查表明需要在更广泛的组织层面上协调与慢性病管理相关的政策。
原创性/价值：鉴于引入了护士导航员计划以采取以患者为中心的护理方法，因此进行了对最近政策的审查，以了解它们如何支持这一倡议。
