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从实施科学的角度看初级卫生保健中的多专业协作。

Interprofessional collaboration in primary health care from the perspective of implementation science.

机构信息

Prefeitura do Município de São Bernardo do Campo, São Bernardo do Campo, Brasil.

Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil.

出版信息

Cad Saude Publica. 2023 Nov 13;39(10):e00213322. doi: 10.1590/0102-311XPT213322. eCollection 2023.

Abstract

The objective was to analyze the perceptions of primary health care (PHC) workers about interprofessional collaboration from the perspective of implementation science. This is a qualitative study that used in-depth interview as a data production technique. Interviews were conducted with 15 workers (three community health agents, one nursing assistant, three nurses, three managers, three physicians, and two nursing technicians) from basic health units in the Municipality of São Bernardo do Campo, São Paulo State, Brazil. The interview plan was based on three domains of the Consolidated Framework for Implementation Research (CFIR). Thematic content analysis was used. In the interprofessional collaboration characteristics domain, respondents highlighted the complexity, and its possible influence, as to the implementation and sustainability of this practice. In the inner setting domain, factors that influence interprofessional collaboration were identified, namely: how the time allocated to formal communication/team meetings is used; social interactions between professionals; and leadership characteristics, such as feedback, autonomy and participation in decisions. In the individuals characteristics domain, participants noted interprofessional collaboration geared to quality of care and the need for integration between knowledge centers. Thus, measures to enhance the quality of communication, collective team building and leadership can contribute to improve interprofessional collaboration in PHC and leverage its impacts on health care.

摘要

目的在于从实施科学的角度分析基层医疗(PHC)工作者对跨专业协作的看法。这是一项定性研究,使用深入访谈作为数据产生技术。在巴西圣保罗州圣贝尔纳多杜坎波市,对来自基层卫生单位的 15 名工作人员(3 名社区卫生工作者、1 名护理助理、3 名护士、3 名经理、3 名医生和 2 名护理技术员)进行了访谈。访谈计划基于实施研究综合框架(CFIR)的三个领域。使用了主题内容分析。在跨专业协作特征领域,受访者强调了这种实践的复杂性及其可能对实施和可持续性的影响。在内部环境领域,确定了影响跨专业协作的因素,例如:如何利用分配给正式沟通/团队会议的时间;专业人员之间的社交互动;以及领导特点,如反馈、自主权和参与决策。在个体特征领域,参与者注意到以护理质量为导向的跨专业协作以及整合知识中心的必要性。因此,提高沟通质量、集体团队建设和领导力的措施可以有助于改善基层医疗的跨专业协作,并增强其对医疗保健的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eca9/10645058/62bfb879b62e/1678-4464-csp-39-10-PT213322-gf2.jpg

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