Integrating dietitians into primary health care: benefits for patients, dietitians and the general practice team
Integrating dietitians into primary health care: benefits for patients, dietitians and the general practice team
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DOI：
10.1071/hc16018
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发表时间：
2016-12-01
影响因子：
1.2
通讯作者：
Morris, Caroline
中科院分区：
文献类型：
--
作者：
Beckingsale, Louise;Fairbairn, Kirsty;Morris, Caroline
简介：在初级卫生保健中提供饮食服务是一个新兴的领域，饮食实践在新西兰.目的：本文的目的是描述饮食服务正在提供这种设置和营养师的看法的因素，有影响他们的能力，提供最佳的服务.方法：个人，定性，半结构化，面对面的访谈进行了12个初级保健营养师从一系列的年龄，种族和专业背景。访谈录音，逐字转录和分析使用归纳thematic analysis.RESULTS：参与者提供了一系列的服务，包括：直接向患者提供营养保健，帮助提升其他初级卫生保健专业人员的营养，并提供健康促进措施，以当地社区。确定了三个关键因素，参与者认为对他们在初级卫生保健中提供有效饮食服务的能力有影响：作为多学科全科团队的一部分，具有适合环境的灵活服务提供合同并支持整合，以及具有足够的饮食经验水平。在初级卫生保健工作的营养师认识到被很好地融入一个多学科的全科团队的重要性。这使他们能够与同事一起提供更多的协作和协调的营养护理，使患者护理受益。建立灵活的营养服务提供合同，支持整合并考虑资金和劳动力能力要求，可能有助于确保营养师的独特技能得到最佳利用。
INTRODUCTION: Dietetic service delivery in primary health care is an emerging area of dietetic practice in New Zealand.AIM: This paper aims to describe the dietetic services being delivered in this setting and dietitians' perceptions of the factors that have an effect on their ability to deliver an optimal service.METHODS: Individual, qualitative, semi-structured, face-to-face interviews were conducted with 12 primary healthcare dietitians from a range of age, ethnicity and professional backgrounds. Interviews were audio-recorded, transcribed verbatim and analysed using inductive thematic analysis.RESULTS: Participants were delivering a range of services including: providing nutrition care directly to patients, helping to upskill other primary health care professionals in nutrition, and delivering health promotion initiatives to their local community. Three key factors were identified that participants perceived as having an effect on their ability to deliver effective dietetic services in primary health care: being part of a multidisciplinary general practice team, having flexible service delivery contracts appropriate for the setting and that supported integration, and having an adequate level of dietetic experience.DISCUSSION: Dietitians working in primary health care recognise the importance of being well integrated into a multidisciplinary general practice team. This enables them to deliver more collaborative and coordinated nutrition care alongside their colleagues, to benefit patient care. Establishing flexible dietetic service delivery contracts, which support integration and take into account funding and workforce capacity requirements, may help ensure that the unique skill set of a dietitian is utilised to best effect.