• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Health Services Research >When time matters: a qualitative study on hospital staff’s strategies for meeting the target times in cancer patient pathways
【24h】

When time matters: a qualitative study on hospital staff’s strategies for meeting the target times in cancer patient pathways

机译：何时很重要：关于癌症患者途径达到目标时期的卫生员工的定性研究

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Cancer patient pathways (CPPs) were introduced in Norway in 2015. CPPs are time-bound standardised care pathways that describe the organisation of and responsibilities for diagnostics and treatment, as well as communication with the patient and next of kin. The aim is to ensure that cancer patients experience a well-organised, coherent and predictable pathway without any delays in assessment and diagnostics caused by non-medical reasons. Preventing delays in diagnostics by meeting specific target times is central to the successful implementation of CPPs. The aim of this paper is to describe how hospital staff cope with the increased focus on meeting CPP target times and the measures and strategies implemented by hospitals and their staff. Data for this paper were collected in a larger study on implementation and experiences with CPPs among hospital staff, general practitioners, and patients in Norway (2017–2020). The study had a qualitative cross-sectional design, and data were collected through interviews. This article is based on semi-structured interviews with hospital staff (N?=?60) in five hospitals. Hospital staff are highly aware of the target times, and try to comply with them, in the interest of both the patients and the hospitals. The implementation of CPPs was not accompanied by the allocation of additional resources; therefore, hospitals could not simply increase capacity to meet the target times. Instead, they had to develop other strategies. Four categories of strategies were identified: (i) introducing new roles and more staff, (ii) reorganising the workflow, (iii) gaming the system and (iv) outsourcing services. Hospital staff are torn between meeting the target times and a lack of resources and capacity. This is not unusual in the current healthcare context, where staff face organisational reforms and increasing demands on a regular basis. It is important to recognise frontline workers’ efforts towards realising new organisational changes. Therefore, carefully weighing the benefits against the costs and undertaking the necessary planning are important in the design and implementation of future care and treatment pathways for patients.
机译：癌症患者途径（CPP）于2015年在挪威推出.CCPS是时间限制的标准化护理途径，描述了诊断和治疗的组织和责任，以及与患者和近亲的沟通。目的是确保癌症患者体验良好组织，连贯和可预测的途径，而不受非医疗原因造成的评估和诊断的任何延误。通过满足特定目标时间来防止诊断延迟是成功实施CPP的核心。本文的目的是描述医院工作人员如何应对符合CPP目标时间的增加，以及医院及其工作人员实施的措施和战略。本文的数据被收集在较大的研究工作人员，通用从业者和挪威患者中的CPPS实施和经验的研究中（2017-2020）。该研究具有定性横截面设计，通过访谈收集数据。本文基于五家医院的医院工作人员（N？= 60）的半结构化访谈。医院工作人员高度意识到目标时间，并符合患者和医院的利益遵守它们。 CPP的实施没有伴随额外资源的分配;因此，医院不能简单地增加满足目标时间的能力。相反，他们不得不制定其他策略。确定了四类战略：（i）介绍新的角色和更多员工，（ii）重组工作流程（iii）游戏系统和（iv）外包服务。在满足目标时间和缺乏资源和能力之间，医院工作人员被撕裂。这在当前的医疗保健环境中并不罕见，工作人员面临组织改革和定期增加需求。重要的是要认识前线工人努力实现新的组织变革。因此，仔细称重对费用的益处，并进行必要的规划对于设计和实施患者未来护理和治疗途径的设计和实施是重要的。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号