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首页> 外文期刊>International Journal of Integrated Care >Multidisciplinary integrated Parent and Child Centres in Amsterdam: a qualitative study
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Multidisciplinary integrated Parent and Child Centres in Amsterdam: a qualitative study

机译：阿姆斯特丹的多学科综合父母和儿童中心：定性研究

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Background : In several countries centres for the integrated delivery of services to the parent and child have been established. In the Netherlands family health care service centres, called Parent and Child Centres (PCCs) involve multidisciplinary teams. Here doctors, nurses, midwives, maternity help professionals and educationists are integrated into multidisciplinary teams in neighbourhood-based centres. To date there has been little research on the implementation of service delivery in these centres. Study Design: A SWOT analysis was performed by use of triangulation data; this took place by integrating all relevant published documents on the origin and organization of the PCCs and the results from interviews with PCC experts and with PCC professionals (N=91). Structured interviews were performed with PCC-professionals (health care professionals (N=67) and PCC managers N=12)) and PCC-experts (N=12) in Amsterdam and qualitatively analysed thematically. The interview themes were based on a pre-set list of codes, derived from a prior documentation study and a focus group with PCC experts. Results : Perceived advantages of PCCs were more continuity of care, shorter communication lines, low-threshold contact between professionals and promising future perspectives. Perceived challenges included the absence of uniform multidisciplinary guidelines, delays in communication with hospitals and midwives, inappropriate accommodation for effective professional integration, differing expectations regarding the PCC-manager role among PCC-partners and the danger of professionals' needs dominating clients' needs. Conclusions : Professionals perceive PCCs as a promising development in the integration of services. Remaining challenges involved improvements at the managerial and organizational level. Quantitative research into the improvements in quality of care and child health is recommended.
机译：背景：在一些国家中，已经建立了向父母和子女综合提供服务的中心。在荷兰，称为父母和儿童中心（PCC）的家庭保健服务中心由多学科团队组成。在这里，医生，护士，助产士，助产士专业人员和教育工作者被整合到基于社区的中心的多学科团队中。迄今为止，在这些中心实施服务交付的研究很少。研究设计：使用三角测量数据进行SWOT分析;通过整合有关PCC起源和组织的所有相关已发布文件以及与PCC专家和PCC专业人员进行访谈的结果（N = 91）来实现这一点。在阿姆斯特丹与PCC专业人士（卫生保健专业人员（N = 67）和PCC经理N = 12）和PCC专家（N = 12）进行了结构化访谈，并进行了定性分析。采访主题基于预设的代码列表，这些代码来自先前的文档研究以及与PCC专家组成的焦点小组。结果：PCC的感知优势是护理的连续性更高，沟通渠道更短，专业人员之间的门槛较低以及前景广阔。可以理解的挑战包括缺乏统一的多学科指导方针，与医院和助产士的沟通延迟，为有效的专业整合提供不适当的住所，对PCC合伙人中PCC经理角色的不同期望以及专业人员需求主导客户需求的危险。结论：专业人员认为PCC是服务集成中的有前途的发展。剩下的挑战涉及在管理和组织层面的改进。建议对护理质量和儿童健康的改善进行定量研究。

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