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促进全科医学中的乙型肝炎临床管理:一项定性研究。

Facilitating hepatitis B clinical management in general practice: A qualitative investigation.

机构信息

PhD, Postdoctoral Research Fellow, Burnet Institute, Vic; Adjunct Research Fellow, Australian Research Centre in Sex, Health & Society, La Trobe University, Vic; Adjunct Lecturer, Centre for Social Research in Health, UNSW, NSW.

PhD, MPH, RN, Program Manager, Workforce Development and Health Service Delivery, EC Australia, Burnet Institute, Vic; Adjunct Research Fellow, Australian Research Centre in Sex, Health & Society, La Trobe University, Vic.

出版信息

Aust J Gen Pract. 2020 Sep;49(9):599-604. doi: 10.31128/AJGP-02-20-5225.

Abstract

METHOD

Data from qualitative semi-structured interviews with 19 participants from primary care settings were thematically analysed.

RESULTS

Critical elements in providing clinical care in primary care settings were identified at an organisational and provider level. A supportive organisational culture included leadership, a multidisciplinary team approach, community engagement and cultural competency, while provider-related issues included authorisation to prescribe, access to linguistic and cultural mediators and effective relationships with relevant specialist services.

DISCUSSION

The research identified practice leadership, organisational culture and a patient focus supported hepatitis B clinical management transitioning from specialist to primary care services.

摘要

方法

对来自初级保健环境的 19 名参与者的定性半结构化访谈数据进行了主题分析。

结果

在组织和提供者层面确定了在初级保健环境中提供临床护理的关键要素。一个支持性的组织文化包括领导力、多学科团队方法、社区参与和文化能力,而与提供者相关的问题包括处方授权、获得语言和文化调解员以及与相关专科服务的有效关系。

讨论

研究确定了实践领导力、组织文化和以患者为中心的方法支持乙型肝炎的临床管理从专科服务向初级保健服务的转变。

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