Patients as team members: opportunities, challenges and paradoxes of including patients in multi-professional healthcare teams
Patients as team members: opportunities, challenges and paradoxes of including patients in multi-professional healthcare teams
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DOI：
10.1111/j.1467-9566.2011.01356.x
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发表时间：
2011-11-01
影响因子：
2.9
通讯作者：
Finn, Rachael
中科院分区：
文献类型：
--
作者：
Martin, Graham P.;Finn, Rachael
目前的医疗保健政策强调需要更多的协作，以团队为基础的方法来提供护理，并为服务用户在管理和提供护理更大的声音。政策越来越鼓励用户和专业人员之间的伙伴关系，以便用户也有效地成为团队成员。在研究这一现象，本文借鉴的见解，从组织社会学文献的团队工作，它突出了不同的专业团体聚集在一起的挑战，但迄今为止，还没有被应用在用户的情况下，也包括在团队中。使用的数据从定性研究的五个试点癌症遗传学项目，其中服务用户包括在负责管理和开发新服务的团队，它突出了涉及的困难，使这样的异质成员的团队和矛盾时，出现这个任务的实现。它揭示了团队成员的整合和专业化之间的紧张关系，在一般的团队文献中强调，是特别尖锐的服务用户，其贡献的独特性是更加脆弱的，并开放模糊。
Current healthcare policy emphasises the need for more collaborative, team-based approaches to providing care, and for a greater voice for service users in the management and delivery of care. Increasingly, policy encourages partnerships between users and professionals so that users, too, effectively become team members. In examining this phenomenon, this paper draws on insights from the organisational-sociological literature on team work, which highlights the challenges of bringing together diverse professional groups, but which has not, to date, been applied in contexts where users, too, are included in teams. Using data from a qualitative study of five pilot cancer-genetics projects, in which service users were included in teams responsible for managing and developing new services, it highlights the difficulties involved in making teams of such heterogeneous membersand the paradoxes that arise when this task is achieved. It reveals how the tension between integration and specialisation of team members, highlighted in the literature on teams in general, is especially acute for service users, the distinctiveness of whose contribution is more fragile, and open to blurring.