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在澳大利亚社区老年护理行业推广职业治疗干预措施。

Promoting occupational therapy interventions in the Australian community aged care sector.

机构信息

The University of Sydney, Camperdown, NSW, Australia.

Flinders University, Bedford Park, SA, Australia.

出版信息

Aust Occup Ther J. 2021 Jun;68(3):228-235. doi: 10.1111/1440-1630.12717. Epub 2021 Jan 7.

Abstract

BACKGROUND

With the introduction of consumer-directed care in the Australian community aged care sector, there are more opportunities for occupational therapists to provide evidence-based services that meet consumer needs. There is also an increasing requirement for health professionals to promote their interventions to consumers. Particularly for the implementation of new programs within organisations. However, occupational therapists have historically neglected widely promoting the role of occupational therapy services for older people. This study examines the perceptions of occupational therapists and their managers in promoting their service; the Care of People in their Environment (COPE) Program.

METHODS

This study utilised a qualitative interpretative description; including 28 in-depth interviews. Purposeful sampling ensured a variety of occupational therapists from different health contexts. Thematic analysis captured key emergent themes related to promoting occupational therapy interventions and implementation.

RESULTS

Many occupational therapists were apprehensive about promoting or selling their services and interventions. Greater levels of confidence in promoting the program were present when the program aligned with traditional models of service delivery and organisational processes. Occupational therapists described having limited opportunity to directly promote the program to consumers as community case managers were mostly the main contact at the organisation. There was limited consideration of promotion strategies and therefore limited enactment of strategies by organisations. Not-for-profit and non-government organisations recognise that the changed community aged care market provided new business opportunities.

CONCLUSION

With changes in the Australian aged care system, occupational therapy has great opportunity to provide diverse, evidence-based interventions driven by the needs of consumers. Reframing the notion of 'selling', to empowering consumers to be more informed about their options, will allow occupational therapists to build confidence in their promotional skills. Promoting evidence-based programs will have positive outcomes for the visibility, professional identity and recognition of occupational therapy.

摘要

背景

随着澳大利亚社区老年护理行业引入消费者导向型护理,职业治疗师有更多机会提供基于证据的服务,以满足消费者的需求。此外,对卫生专业人员向消费者宣传其干预措施的需求也在不断增加。特别是在组织内实施新计划时。然而,职业治疗师在历史上忽视了广泛宣传职业治疗服务对老年人的作用。本研究考察了职业治疗师及其管理人员对其服务(环境中的人关怀计划,COPE)推广的看法。

方法

本研究采用定性解释描述法;包括 28 次深入访谈。目的抽样确保了来自不同卫生背景的各种职业治疗师参与研究。主题分析捕捉了与推广职业治疗干预措施和实施相关的关键新兴主题。

结果

许多职业治疗师对推广或销售其服务和干预措施感到担忧。当计划与传统的服务提供模式和组织流程一致时,对推广计划的信心会增强。职业治疗师描述说,由于社区个案经理是组织中与消费者的主要联系人,他们几乎没有机会直接向消费者推广该计划。组织很少考虑推广策略,因此也很少采取策略。非营利组织和非政府组织认识到,澳大利亚老年护理市场的变化为他们提供了新的商业机会。

结论

随着澳大利亚老年护理系统的变化,职业治疗有很大的机会提供多样化的、基于证据的干预措施,这些干预措施是由消费者的需求驱动的。将“销售”的概念重新定义为赋予消费者更多了解其选择的信息,将使职业治疗师对自己的宣传技能更有信心。推广基于证据的项目将对职业治疗的知名度、专业身份和认可产生积极影响。

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