Woodward Amelia, Ruston Annmarie
College of Health, Psychology and Social Care University of Derby, Derby, UK.
Canterbury Christchurch University, Canterbury, UK.
J Interprof Care. 2023 Jan-Feb;37(1):109-117. doi: 10.1080/13561820.2022.2047015. Epub 2022 Apr 11.
Integrative local health delivery models in the UK, under the framework of Enhanced Health in Care Homes (EHICH), have been developed to improve joint working between health and social care to benefit the patient. Despite this drive toward health and social care integration, research on the barriers, facilitators, and impact of partnership working on role of care home staff is underdeveloped. This study set out to explore views on how closer working between health and social care can impact on the role of care home staff and any barriers to effective integration. Staff from 25 care homes and GPs from their partnered practices were interviewed to explore the impact of the partnership. Homes receiving regular visits from the same health professional found the relationship between the two sectors had benefitted both residents and staff. The development of trusting relationships, access to support and information, and recognition and respect were all seen as facilitating the partnership and enhancing patient care. Regular and effective interactions with health-care professionals were key and had the potential to empower and increase confidence of care home staff in their role around health care. Factors negatively impacting on strength of relationship such as visits by inconsistent professional and high turnover of care home staff were a barrier to successful partnerships. Experiences of poor interactions with those from health-care services where there was an absence of a trusting relationship were disempowering to care home staff and remain a barrier to effective wider health and social care collaboration.
在“改善养老院健康状况”（EHICH）框架下，英国已制定综合地方医疗服务模式，以加强医疗与社会护理之间的合作，使患者受益。尽管有推动医疗与社会护理整合的举措，但关于合作的障碍、促进因素以及对养老院工作人员角色的影响的研究仍不充分。本研究旨在探讨关于医疗与社会护理之间更紧密合作如何影响养老院工作人员角色以及有效整合的任何障碍的观点。研究对来自25家养老院的工作人员及其合作诊所的全科医生进行了访谈，以探讨这种合作关系的影响。那些有同一名医疗专业人员定期来访的养老院发现，两个部门之间的关系使居民和工作人员都受益。信任关系的建立、获得支持和信息以及认可与尊重都被视为促进了合作并提升了患者护理水平。与医疗保健专业人员进行定期且有效的互动是关键，这有可能增强养老院工作人员在医疗保健方面的角色能力和信心。对合作关系强度产生负面影响的因素，如专业人员更换频繁以及养老院工作人员流动率高，是成功合作的障碍。与医疗保健服务人员互动不佳的经历，即缺乏信任关系，会削弱养老院工作人员的能力，仍然是医疗与社会护理更广泛有效合作的障碍。
