A STUDY ON COOPERATION AMONG HEALTHCARE PROFESSIONAL AND COST EFFECTIVENESS RELATED TO CLINICAL LOAD ALLOTMENT

根据临床行为的性质、规章制度和临床实践活动的实际内容，对各临床单位医务人员开展的临床实践活动进行分析和识别。研究人员试图明确确定实用标准，以区分医疗保健专业人员（如医生、护士、物理治疗师、职业治疗师、医务社会工作者、药剂师、医学工程师和临床试验技术人员）的工作界限。研究结果表明，不存在这种可以推广的标准。本研究针对参与本研究的五所综合医院的医护人员进行调查，探讨医护人员日常护理活动的频率、性质和合作情况。该调查还试图确定在不久的将来哪些临床活动有利于合作。特别是在护理方面，调查还包括另一个方面的研究。护士被要求决定日常护理活动的复杂性，以及执行这些日常护理活动所需的护理专业知识的程度。受试者护士明确表示，他们的某些护理活动可以委托给无证辅助人员，并且有各种临床活动可以由其他专业人员有效地合作执行。因此，为了使护士促进临床负荷的合理分配，应根据上述标准对护理活动进行分类，并制定具体标准。有效地分配工作负荷。本研究表明，尽管强调需要多学科的医疗保健方法，但除了观察到护士与其他专业人员频繁互动并在患者护理中发挥核心作用外，在医疗保健专业人员的日常护理活动中几乎没有观察到互动。还确定了妨碍医疗保健团队专业人员之间互动的因素：缺乏对以患者为中心的护理的认识，对其他医疗保健专业人员专业知识的不适当认识，以及缺乏促进专业人员之间互动的工作环境。这些因素也为我们如何实现多学科医疗团队提供了方向。根据研究结果，研究人员提出了一个医疗团队模型，使专业人员能够在不同的医疗专业人员之间合作分配临床活动。在全面检讨临床单位的临床活动后，会考虑病人护理服务的质素保证、效率和成本效益。少

The clinical practice activities provided by healthcare professionals on various clinical units were analyzed and identified based on the nature of the clinical acts, regulations and actual content of the activities performed. The researcher tried to clearly identify practical standards which would differentiate work boundaries among healthcare professionals such as physicians, nurses, physical therapists, occupational therapists, medical social workers, pharmacists, medical engineers, and clinical test technicians.The research findings showed that such standards did not exist which could be generalized.For healthcare professionals working at five general hospitals participating in this study, a survey was conducted to probe the frequency, nature and cooperation in performing daily care activities among healthcare professionals. The survey also tried to determine which clinical activities would lend themselves to cooperation in the near future.Particularly in nursing, the survey also i … More ncluded another aspects of research. The nurses were asked to decide the complexity of daily care activities and the extent to which nursing expertise is required to perform such daily care activities. The subjects, nurses, clearly indicated that some part of their care activities could be delegated to unlicensed assistive personnel and, that there were a variety of clinical activities that could be effectively and cooperatively performed by other professionals. Therefore, in order for nurses to promote a proper clinical load allotment, care activities should be categorized according to the above mentioned criteria and concrete standards should be set up. To effectively distribute the workload.This study demonstrated that although a need for a multidisciplinary healthcare approach was emphasized, little interaction in daily care activities was observed among healthcare professionals, except for the fact that nurses were observed having frequent interactions with other professionals and played a core role in patient care.Factors preventing interaction among professionals on the health care team were also identified : lack of recognition of patient centered care, improper recognition of the expertise of other healthcare professionals, and lack of a work environment that promoted interactions among professional. These factors also provided direction for how we would move toward implementation of multidisciplinary healthcare teams.Based upon the study findings, the researcher has suggested a healthcare team model that would enable professionals to cooperatively allocate clinical activities among the various healthcare professionals. Consideration would be given to quality assurance, efficiency and cost effectiveness of patient care services after an comprehensive review of clinical activities on clinical units. Less