患者为中心的医疗之家的工作分工。
Delegation of Work Within a Patient-Centered Medical Home.
机构信息
Author Affiliations: Investigator (Drs Wakefield and Farag) and Analyst (Ms Ferguson), Veterans Integrated Service Network 23, Primary Care Analytic Team (Ms Paez), Iowa City VA Healthcare System, Iowa; Associate Professor (Dr Wakefield), Sinclair School of Nursing, University of Missouri, Columbia; Investigator (Dr Lampman), Ethnographic Methods and Implementation Core (EMIC) Program Manager (Ms Paez), and Director (Dr Stewart), Veterans Integrated Service Network 23, PCAT and VA Office of Patient Care Services, Iowa City VA Healthcare System, Iowa; Assistant Professor (Dr Lampman), Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota; EMIC Program Manager (Ms Paez), The Comprehensive Access and Delivery Research and Evaluation Center, Iowa City VA Healthcare System, Iowa; and Associate Professor (Dr Farag), University of Iowa College of Nursing; and Professor (Dr Stewart), Tippie College of Business, University of Iowa, Iowa City.
出版信息
J Nurs Adm. 2022 Dec 1;52(12):679-684. doi: 10.1097/NNA.0000000000001231.
OBJECTIVE
The aim of this study was to analyze the perceptions of core team members implementing patient-centered medical home (PCMH) within the Veterans Health Administration regarding delegation of work.
BACKGROUND
Significant overlap exists in the performance of work tasks among PCMH team members (primary care providers, RNs, clinical associates, clerks), and scant literature exists on appropriate delegation within PCMH teams.
METHODS
This study conducted used a quantitative and qualitative analysis of 4254 respondents to a 2018 survey.
RESULTS
Primary care providers rely heavily on team members, and nurses report being relied upon at high levels. Lack of role clarity and a perceived need for a team leader were concerns voiced by participants.
CONCLUSIONS
Findings indicated a need for clear guidance on roles and responsibilities within the team. Patient-centered medical home team members need information about the scope of practice of each professional group to allow providers to function at the top of their scope of practice and ensure effective delegation.
目的
本研究旨在分析退伍军人事务部实施以患者为中心的医疗之家（PCMH）的核心团队成员对工作分工的看法。
背景
PCMH 团队成员（初级保健提供者、注册护士、临床助理、办事员）的工作任务存在显著重叠，而关于 PCMH 团队中适当分工的文献甚少。
方法
本研究对 2018 年调查的 4254 名受访者进行了定量和定性分析。
结果
初级保健提供者严重依赖团队成员，护士报告说他们的依赖程度很高。参与者表示，角色不明确和对团队领导的需求是他们关心的问题。
结论
研究结果表明，需要在团队内部明确角色和职责的指导。PCMH 团队成员需要了解每个专业群体的实践范围，以便提供者能够在其最高实践范围内发挥作用，并确保有效的分工。
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