How Collaborative Mentoring Networks Are Building Capacity in Primary Care.
How Collaborative Mentoring Networks Are Building Capacity in Primary Care.
复制标题
DOI：
10.12927/hcq.2019.26016
复制
发表时间：
2019-10-01
影响因子：
--
通讯作者：
Greenberg, Leslie
中科院分区：
文献类型：
--
作者：
Radhakrishnan, Arun;Clarke, Leanne;Greenberg, Leslie
众所周知，需要提高初级保健的能力来治疗越来越多的复杂慢性病患者（Roberts 等，2015）。满足这一需求不仅需要更多的家庭医生，还需要更多的支持和资源来处理具有挑战性的病例。协作指导网络 (CMN) 由安大略家庭医生学院于 2001 年创建，并由安大略省政府资助，提供了这种支持，并证明在提高医生护理与心理健康、成瘾和慢性疼痛作斗争的患者的能力和信心方面特别成功。这些网络使家庭医生能够及时、持续地接触到具有更丰富临床专业知识的导师。 2017 年，这些网络从两个扩大到七个，扩大对姑息治疗和临终关怀以及临终医疗援助的支持，并重点关注初级保健、早期实践和农村医学的领导力。 CMN 的早期影响包括提高家庭实践中的初级保健能力、更好地支持家庭医生治疗更多病情复杂的患者、减少专科医生转诊、减少隔离和提高保留率。
The need for increased capacity in primary care to treat the growing numbers of patients with complex chronic health conditions is well established (Roberts et al. 2015). Meeting that need requires not only more family physicians but also more support and resources to handle challenging cases. The Collaborative Mentoring Networks (CMNs), created in 2001 by the Ontario College of Family Physicians and funded by the Ontario government, have provided that support and proven particularly successful in improving physicians' competence and confidence in caring for patients struggling with mental health, addictions and chronic pain. The networks give family physicians timely, ongoing access to mentors with greater clinical expertise. In 2017, the networks expanded from two to seven, spreading support to palliative and end-of-life care and medical assistance in dying and focusing on leadership in primary care, early years in practice and rural medicine. CMNs' early impact involved increased primary care capacity in family practice, better-supported family physicians treating more patients with complex conditions, fewer specialist referrals, less isolation and greater retention.