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Identification of critical success factors for the sustainability of Frontier Extended Stay Clinics.

机译：确定前沿长期住院诊所可持续性的关键成功因素。

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摘要

Many frontier and rural communities are struggling to provide access to health care for their residents. Problems of access are greater in these communities than in urban areas. Unless these challenges of access to care are addressed now, chronic disease will become a colossal burden in many rural communities. This study identified critical success factors for Frontier Extended Stay Clinics (FESC). The Frontier Extended Stay Clinic demonstration project is a network of remotely located health centers in frontier or rural areas that provides primary care, emergency care, and extended stay services. Currently, there is a scarcity of research that supports this important rural healthcare delivery model. This study investigated the critical success factors necessary for Frontier Extended Stay Clinics to achieve and maintain sustainability. In addition to identifying these critical success factors, a second objective was to expand the current knowledge base of what factors contribute to FESC success, and to add to the existing knowledge base of the FESC model. Primary data was collected through interviews, surveys, and benchmarking methods. The researcher surveyed key staff, board members, and partners of the project to identify the FESCs' critical success factors.;The goal of identifying critical success factors is to provide information for administrators of FESC programs, as well as other stakeholders, and ultimately to increase the sustainability of the program. The identification of critical success factors will be helpful for potential new FESC sites and serve as the foundation of monitoring and evaluation of Frontier Extended Stay Clinics.;Several critical success factors were identified during the survey, interview, and benchmark data collection process. Overall, the critical success factors identified by representatives included organizational mission, revenue maximization, community involvement, customer service, technology, business collaboration, personnel maximization, quality leadership, recruitment and retention, quality control, and safe and healthy working environment. Organizational mission was the only CSF shared among all four groups studied. Community involvement and revenue maximization were CSFs shared among three of the four groups. Only two of the four groups identified customer service, personnel maximization, and technology as CSFs. Leadership and quality control were CSFs identified by only one of the four groups studied.;There are clearly benefits to providing emergent and inpatient care within communities, instead of relying on costly medevacs for unnecessary hospital medical interventions. There are many lessons to be learned from these pioneers in healthcare delivery. This study and the identification of FESC critical success factors will add to the pool of research on the FESC model.
机译：许多边境和农村社区都在努力为居民提供医疗服务。与城市地区相比，这些社区的交通问题更大。除非现在解决获得医疗服务的这些挑战，否则慢性病将成为许多农村社区的巨大负担。这项研究确定了边境延长住院诊所（FESC）的关键成功因素。边境长期住院诊所示范项目是一个位于边境或农村地区的偏远卫生中心网络，可提供初级保健，紧急护理和长期住院服务。当前，缺乏支持这种重要农村医疗服务模式的研究。这项研究调查了边境延长住院诊所实现和维持可持续性所必需的关键成功因素。除了确定这些关键的成功因素之外，第二个目标是扩展有关哪些因素有助于FESC成功的当前知识库，并增加FESC模型的现有知识库。通过访谈，调查和基准测试方法收集原始数据。研究人员对项目的关键人员，董事会成员和合作伙伴进行了调查，以确定FESC的关键成功因素。确定关键成功因素的目的是为FESC计划的管理人员以及其他利益相关者提供信息，并最终为提高计划的可持续性。关键成功因素的识别将有助于潜在的新的FESC站点，并为边境长期住院诊所的监视和评估奠定基础。在调查，访谈和基准数据收集过程中确定了几个关键成功因素。总体而言，代表们确定的关键成功因素包括组织使命，收益最大化，社区参与，客户服务，技术，业务协作，人员最大化，质量领导，招聘和保留，质量控制以及安全健康的工作环境。组织使命是所有四个研究组中唯一共享的CSF。社区参与和收益最大化是四个小组中三个小组共享的脑脊液。四个小组中只有两个将客户服务，人员最大化和技术确定为CSF。领导力和质量控制仅是被研究的四组之一确定的脑脊液。在社区内提供急诊和住院治疗显然有好处，而不是依靠昂贵的医疗救助人员进行不必要的医院医疗干预。从这些医疗保健先驱者那里可以学到很多教训。这项研究和FESC关键成功因素的识别将增加FESC模型的研究范围。

著录项

  • 作者

    Hines, Andre Leona.;

  • 作者单位

    Central Michigan University.;

  • 授予单位 Central Michigan University.;
  • 学科 Health Sciences General.;Health Sciences Health Care Management.
  • 学位 D.H.A.
  • 年度 2009
  • 页码 105 p.
  • 总页数 105
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 预防医学、卫生学;预防医学、卫生学;
  • 关键词

  • 入库时间 2022-08-17 11:38:24

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