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

医疗保健专业人士之间的合作以及与临床负荷分配相关的成本效益研究

• 批准号: 10672222
• 负责人: KODERA Eiko
• 金额: $ 1.6万
• 依托单位: Kochi Women's University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1998
• 资助国家: 日本
• 起止时间: 1998 至 2000
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10672222/
• 关键词: Clinical load allotment; Cooperation; Multidisciplinary approach; Healthcare team model; 専門性; 医療業務連携; 協働; 専門業務; 病棟業務の適正化

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

根据临床行为的性质、法规和活动的实际内容，对医疗保健专业人员在不同临床单位提供的临床实践活动进行分析和确定。研究人员试图明确区分医生、护士、理疗师、职业治疗师、医务社会工作者、药剂师、医学工程师和临床检验技师等医疗保健专业人员工作边界的实用标准。研究结果表明，这些标准是不存在的，可以推广。调查还试图确定哪些临床活动将在不久的将来进行合作。特别是在护理方面，调查也是I…更多的是包括研究的其他方面。护士被要求决定日常护理活动的复杂性，以及执行这种日常护理活动所需要的护理专业知识的程度。受试者护士明确表示，他们的部分护理活动可以委托给未经许可的辅助人员，并且有各种临床活动可以由其他专业人员有效和合作地执行。因此，为了促进护士合理分配临床负荷，应根据上述标准对护理活动进行分类，并制定具体的标准。这项研究表明，尽管强调了多学科医疗方法的必要性，但医疗专业人员在日常护理活动中几乎没有观察到互动，除了观察到护士与其他专业人员频繁互动并在病人护理中发挥核心作用之外。还发现了阻碍医疗团队中专业人员之间互动的因素：对以患者为中心的护理缺乏认识，对其他医疗专业人员的专业知识缺乏认可，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施多学科医疗团队提供了方向。基于研究结果，研究人员提出了一个医疗团队模式，使专业人员能够在不同的医疗专业人员之间协作分配临床活动。在全面检讨临床单位的临床活动后，当局会考虑病人护理服务的质素保证、效率和成本效益。较少