Organization and Administration

组织与行政
  • 文章类型: Journal Article
    在公共部门,健康经理占据的职位通常由医疗人员填补,临床,或护理经验,谁被委托承担额外的角色。这项研究的主要目的是采用范围界定审查方法来确定一系列普遍的主题,包括发展熟练的医疗保健经理。
    这项范围审查研究的目的是确定管理专业化领域的关键组成部分,正如Arksey和O\'Malley所描述的.共13项研究,以预定义的关键字为特征,被从Scopus精心挑选出来,WebofScience,PubMed,和Embase,马吉兰,和SID数据库。纳入和排除标准考虑了语言等因素,时间相关性,冗余,与专业化领域的主题对齐,与本调查的总体目标和方法相一致。随后,使用框架分析方法对选定研究的内容进行了严格的主题分析和明智的分类。
    在总共10,117篇文章中,严格的选择过程产生了13篇文章纳入本研究.识别的维度在6个总体领域中进行分类和阐明;即管理科学,教育轨迹,和课程,文化基础设施和意识形态,标准,专业机构和协会,以及许可证和认证。
    为了提高健康管理的有效性,政策制定者和规划者应该将这些维度巧妙地纳入国家卫生系统的框架。
    UNASSIGNED: Within the public sector, health managers occupy positions that are typically filled by individuals with a medical, clinical, or nursing experience who are entrusted with assuming an additional role. The primary objective of this study was to employ a scoping review methodology to ascertain a cluster of prevalent subjects encompassing the development of a proficient health care manager.
    UNASSIGNED: The purpose of this scoping review study was to identify critical components in the field of management professionalization, as described by Arksey and O\'Malley. A total of 13 studies, characterized by predefined keywords, were meticulously culled from Scopus, Web of Science, PubMed, and Embase, Magiran, and SID databases. The inclusion and exclusion criteria considered factors such as language, temporal relevance, redundancy, thematic alignment with the professionalization domain, and congruence with the overarching objectives and methodologies of the present investigation. Subsequently, the contents of the selected studies were subjected to rigorous thematic analysis and judicious categorization using a framework analysis approach.
    UNASSIGNED: From a total of 10,117 articles, a rigorous selection process yielded 13 articles to be included in this study. The identified dimensions are classified and elucidated across 6 overarching domains; namely, the science of management, educational trajectory, and curriculum, cultural infrastructure and ideologies, standards, professional institutions and associations, and licenses and certifications.
    UNASSIGNED: To enhance the efficacy of health management, policymakers and planners ought to adeptly incorporate these dimensions within the framework of the country\'s health system.
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  • 文章类型: Journal Article
    背景:南澳大利亚大学物理治疗学士学位课程,“工作健康与安全(WHS)实践”,为学生提供实用的WHS经验。学生为工业承担80小时的WHS项目,最终为主机提供报告。
    目的:建立举办WHS本科物理治疗实习的行业类型以及学生进行的活动性质。
    方法:报告是回顾性的,使用描述性的系统分类,文档内容分析法。收集了人口统计数据:报告和学生人数,安置地点和行业类型。选定的报告用作进一步分析的子集,并创建定义以对放置活动的性质进行分类。
    结果:大多数报告是由一对学生撰写的(88%,n=269),以大都市YY为基础的安置(91%,n=284)。各行各业都接待了学生,包括医疗保健和社会援助(40%,n=117)和制造业(30%,n=89)。报告主要包括WHS立法要求的风险管理活动(97%,n=229)。
    结论:物理治疗学生WHS活动与行业保持密切联系,南澳大利亚大学作为企业大学的目标;涉及利益相关者(劳动力,学生,南澳大利亚大学和学者)。在入门级标准下,学生WHS活动与澳大利亚职业健康与安全从业人员的关键能力所设定的一些标准非常吻合。
    UNASSIGNED: The University of South Australia\'s Bachelor of Physiotherapy course, \'Work Health and Safety (WHS) Practice\', provides students with introductory practical WHS experience. Students undertake 80-hour effort WHS projects for industry, culminating in a report for hosts.
    UNASSIGNED: To establish the types of industry that host WHS undergraduate physiotherapy placements and the nature of activities that students conduct.
    UNASSIGNED: Reports were retrospectively, systematically classified using a descriptive, document content analysis approach. Demographic data were collected: report and student numbers, placement locations and industry types. Selected reports were used as a subset for further analysis with definitions created to classify the nature of placement activities.
    UNASSIGNED: Most reports were written by a pair of students (88%, n = 269), with placements based in metropolitan Adelaide (91%, n = 284). Various industries hosted students, including healthcare and social assistance (40%, n = 117) and manufacturing (30%, n = 89). Reports primarily included risk management activities as required by WHS legislation (97%, n = 229).
    UNASSIGNED: Physiotherapy student WHS activities maintain close links with industry, involving stakeholders (workforce, students, University of South Australia and academics). At an entry-level standard, the student WHS activities align well with some criteria set as key competencies for Australian Occupational Health physiotherapy practitioners.
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  • 文章类型: Journal Article
    长寿和慢性病,比如癌症,要求(重新)组织保健,以确保卫生系统的可持续性和更好的生活质量。初级卫生保健组织的姑息治疗有积极的结果,在生命结束时改变护理标准,减少住院和医疗费用,并有助于人们自主留在家中,症状得到控制。然而,在许多国家,这是不可能的,因为姑息性癌症治疗的提供是孤立的或普遍的,集中在医院,没有初级保健的战略参与。在许多发达国家,在以综合方式提供姑息治疗的地方,家庭护理增加了人们在生命结束时接受有尊严的护理的机会。这篇综述的目的是评估初级保健对家庭姑息癌症护理的组织,以改善卫生资源的使用和此类患者的生活质量。这个系统的审查协议遵循Cochrane方法来提供叙事综合,结果报告由系统审查首选报告项目(PRISMA)指导。
    Greater longevity and chronic diseases, such as cancer, require (re)organization of care for the sustainability of health systems and better quality of life. Palliative care organized by primary health care has positive outcomes, changing standards of care at the end of life, reducing hospitalizations and health costs and contributing to people\'s autonomy to stay at home with controlled symptoms. However, in many countries, this is not possible because the provision of palliative cancer care is isolated or generalized, concentrated in the hospital, and without the strategic participation of primary care. In many developed countries, where palliative care is offered in an integrated way, home care has increased the people\'s chances of receiving dignified care at the end of life. The aim of this review is to evaluate the organization of home palliative cancer care by primary care to improve the use of health resources and the quality of life of such patients. This systematic review protocol follows the Cochrane methodology to provide a narrative synthesis, with the resulting report guided by the Preferred Reporting Items for Systematic Reviews (PRISMA).
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  • 文章类型: Review
    背景:人工智能(AI)越来越多地用于支持早期发现疾病和治疗建议的一般实践。然而,旨在缓解耗时的管理任务的人工智能系统目前似乎有限。因此,本范围审查旨在总结在一般实践中应用于管理任务的支持和自动化的机器学习方法中进行的研究。
    方法:涵盖医疗保健和工程科学领域的数据库(PubMed,Embase,CINAHL全文,科克伦图书馆,Scopus,和IEEEXplore)进行了搜索。筛选合格的研究是使用Covidence完成的,并根据与一般实践有关的九个基于研究的属性提取数据,行政任务,和机器学习。搜索和筛选过程在2022年4月至6月期间完成。
    结果:确定了1439条记录,筛选了1158条合格标准。共纳入12项研究。提取的属性表明,大多数研究都涉及使用监督机器学习方法的各种调度任务,而全科医生(GP)的参与度相对较低。重要的是,四项研究采用了最新的可用机器学习方法,使用的数据在设置方面经常不同,type,和可用性。
    结论:在一般实践中将机器学习应用于管理任务的研究领域有限,这表明对此类方法的需求和潜力很大。然而,目前缺乏研究,这可能是由于开源数据的不可用和基于诊断的任务的优先级排序.未来的研究将受益于开源数据,尖端的机器学习方法,并明确指出全科医生的参与,以便可以进行改进和可复制的科学研究。
    Artificial intelligence (AI) is increasingly used to support general practice in the early detection of disease and treatment recommendations. However, AI systems aimed at alleviating time-consuming administrative tasks currently appear limited. This scoping review thus aims to summarize the research that has been carried out in methods of machine learning applied to the support and automation of administrative tasks in general practice.
    Databases covering the fields of health care and engineering sciences (PubMed, Embase, CINAHL with full text, Cochrane Library, Scopus, and IEEE Xplore) were searched. Screening for eligible studies was completed using Covidence, and data was extracted along nine research-based attributes concerning general practice, administrative tasks, and machine learning. The search and screening processes were completed during the period of April to June 2022.
    1439 records were identified and 1158 were screened for eligibility criteria. A total of 12 studies were included. The extracted attributes indicate that most studies concern various scheduling tasks using supervised machine learning methods with relatively low general practitioner (GP) involvement. Importantly, four studies employed the latest available machine learning methods and the data used frequently varied in terms of setting, type, and availability.
    The limited field of research developing in the application of machine learning to administrative tasks in general practice indicates that there is a great need and high potential for such methods. However, there is currently a lack of research likely due to the unavailability of open-source data and a prioritization of diagnostic-based tasks. Future research would benefit from open-source data, cutting-edge methods of machine learning, and clearly stated GP involvement, so that improved and replicable scientific research can be done.
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  • 文章类型: Journal Article
    背景:医疗保健的司法化可以理解为对紧迫的医疗保健需求的社会反应,目前的医疗保健系统可能没有充分解决这些问题。这种现象增加了服务资源的紧张,在卫生部门和司法系统中,要求进行机构重组以管理司法行动。据信,每个机构都制定了孤立地解决这一问题的策略,很少公开披露。本次审查的目的是确定实施的机构战略,并调查其在实现医疗保健司法化方面的影响。
    方法:电子搜索将在2021年12月之前对11个数据库进行,补充灰色文献和二级研究的参考文献列表。描述符“健康司法化”将是进行主要研究的基础。将包括描述公共机构为实现医疗保健的司法化而实施的任何策略的研究。与研究报告的实施战略提供的服务质量有关的结果以及报告可及性的结果,可用性,和潜在的不利影响或危害所实施的战略将被调查。此外,将探讨是否有与健康诉讼的价值或特征有关的变化。两名审稿人将独立筛选所有引文,抽象数据,和全文论文。将使用CochraneEffectivePracticeandCareOrganizationGroup(EPOC)建议的工具评估每个研究中的偏倚风险。随后,审稿人还将提取感兴趣的数据,并根据这些研究在机构层面的表现对这些研究的结果进行分类。所获得的结果将被描述为叙述性合成。
    结论:本综述可以提供证据,证明为实现卫生保健的司法化而实施的策略的效果。它可能会使医疗保健和法律专业人员受益,决策者,和研究人员通过确定有可能在未来改善服务提供的策略的类型和特征。
    背景:PROSPEROCRD42020160608.
    The judicialization of health care can be understood as a societal response to pressing healthcare needs, which probably are not being adequately addressed by the current healthcare system. This phenomenon increases the strain on service resources, both in the health sector and in the judiciary system as well, demanding an institutional reorganization to manage judicial actions. It is believed that each institution has developed strategies for coping with the problem in isolation and with little public disclosure. The purpose of this review will be to identify institutional strategies implemented and to investigate their effects in approaching the judicialization of health care.
    Electronic searches will be conducted up to December 2021 on 11 databases, supplemented with gray literature and references lists of secondary studies. The descriptor \"judicialization of health\" will be the basis for conducting the main research. Studies describing any strategy implemented by public institutions to approach the judicialization of health care will be included. Results related to the quality of services provided by the implemented strategy reported in the studies and those that report accessibility, usability, and potential adverse effects or harms caused by the implemented strategy will be investigated. In addition, it will be explored if there have been changes related to the value or characteristics of health litigation. Two reviewers will independently screen all citations, abstract data, and full-text papers. The risk of bias in each study will be appraised using a tool suggested by Cochrane Effective Practice and Care Organization Group (EPOC). Subsequently, the reviewers will also extract the data of interest and classify the findings of these studies according to their performance at the institutional level. The results obtained will be described as a narrative synthesis.
    This review may provide evidence on the effects of the strategies implemented to approach the judicialization of health care. It will potentially benefit health care and legal professionals, decision-makers, and researchers by identifying the types and characteristics of strategies that have the potential to improve service delivery in the future.
    PROSPERO CRD42020160608.
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  • 文章类型: Journal Article
    组织健康素养(OHL)-干预措施可以减少患者遇到的不平等和医疗保健需求。然而,缺乏对整个组织实施的影响和关键因素的概述。本范围审查的目的是总结以下方面的证据:(1)患者OHL干预的结果,专业和组织水平;(2)影响OHL干预措施实施和结果的因素和策略。我们回顾了遵循Arksey和O\'Malley的五阶段框架的实证研究。数据库Scopus,PubMed,PsychInfo和CINAHL从2010年1月1日至2019年12月31日进行了搜索,重点是OHL干预措施,使用与“健康素养”相关的术语,“卫生保健组织”和“干预特征”。在全文回顾之后,我们选择了24个描述性的stu-dies。其中,23项研究报告了与OHL评估工具相关的健康素养问题。13项研究中有9项报告说,干预措施的使用导致了OHL领域在可理解性交流方面的积极变化,专业人员的能力和实践,和战略性组织变革。组织范围内的OHL干预措施改善了患者的预后,但缺乏证据。全组织实施OHL干预措施的关键因素是领导支持,自上而下和自下而上的方法,一个变革的冠军,和员工的承诺。全组织的干预导致OHL领域发生更积极的变化,但有关OHL结果的证据需要加强.
    Organizational health literacy (OHL)-interventions can reduce inequality and demands in health care encountered by patients. However, an overview of their impact and critical factors for organization-wide implementation is lacking. The aim of this scoping review is to summarize the evidence on: (1) the outcomes of OHL-interventions at patient, professional and organizational levels; and (2) the factors and strategies that affect implementation and outcomes of OHL-interventions. We reviewed empirical studies following the five-stage framework of Arksey and O\'Malley. The databases Scopus, PubMed, PsychInfo and CINAHL were searched from 1 January 2010 to 31 December 2019, focusing on OHL-interventions using terms related to \"health literacy\", \"health care organization\" and \"intervention characteristics\". After a full-text review, we selected 24 descriptive stu-dies. Of these, 23 studies reported health literacy problems in relation to OHL-assessment tools. Nine out of thirteen studies reported that the use of interventions resulted in positive changes on OHL-domains regarding comprehensible communication, professionals\' competencies and practices, and strategic organizational changes. Organization-wide OHL-interventions resulted in some improvement of patient outcomes but evidence was scarce. Critical factors for organization-wide implementation of OHL-interventions were leadership support, top-down and bottom-up approaches, a change champion, and staff commitment. Organization-wide interventions lead to more positive change on OHL-domains, but evidence regarding OHL-outcomes needs strengthening.
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  • 文章类型: Systematic Review
    UNASSIGNED: The judicialization of health care is a social claim concerning the right to the access to health care. It usually occurs due to gaps in public policy or failures in its application. In Brazil, several public institutions have implemented strategies to approach this phenomenon. However, these strategies have not yet been systematized into functional categories.
    UNASSIGNED: To categorize and analyze the strategies implemented by public institutions in Brazil to approach the judicialization of health care.
    UNASSIGNED: A systematic scoping review was developed following the method proposed by the Joanna Briggs Institute. The descriptor \'judicialization of health\' was used to conduct the searches for studies in 18 electronic databases and other types of documents in the gray literature until March 2019. Documents containing the reports of strategies implemented in public institutions to approach the judicialization of health care in Brazil were included. Two independent reviewers assessed the eligibility of the documents and extracted the data. The strategies identified were categorized using definitions from the World Health Organization and existing Brazilian legislation.
    UNASSIGNED: Seventy eight implemented strategies were identified and organized into nine categories: i. Technical support to the judiciary; ii. State health committees; iii. Organization of assistance; iv. Compliance with court orders, v. Computerized information systems; vi. Administrative proceeding; vii. Defense of the public authority; viii. Pharmacy and therapeutics committee; ix. Alternative dispute resolution. These categories are not mutually exclusive and often act in concert or complement each other\'s activities. They represent services either existing or provided for in legal provisions by the public administration to meet various types of demands.
    UNASSIGNED: The categories proposed to approach the judicialization of health care represent some of the recommendations for qualifying public administration or are provided for in Brazilian legislation, or both. The existence of recommendations and legislation facilitate, but do not guarantee, the implementation of strategies by public institutions.
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  • 文章类型: Journal Article
    Ever-growing globalization and industrialization put forward impending requirements for green and sustainable logistics (G&SL). Over the past decades, G&SL initiatives triggered worldwide deliberations, aiming at easing negative transport externalities and improving supply chain performance. This review-based paper attempts to offer a joint quantitative and qualitative understanding for the overall evolutionary trend, knowledge structure, and literature gaps of the G&SL research field. Employing the science mapping approach, a total of 306 major paper published from 1999 to 2019 were retrieved, elaborated on, and synthesized. Visualized statistics regarding publication years, journal allocation/co-citation, inter-country/institution collaboration, influential articles, co-occurred keywords, and time view clusters of research themes were analyzed bibliographically. On this basis, a total of 50 sub-branches of G&SL knowledge were classified and thematically discussed based on five alignments, namely (i) social-environmental-economic research, (ii) planning, policy and management, (iii) application and practice, (iv) technology, and (v) operations research. Finally, the current knowledge obstacles and the future research opportunities were suggested. The findings contribute to portray a systematic intellectual prospect for the state quo, hotspots, and academic frontiers of G&SL research. Moreover, it provides researchers and practitioners with heuristic thoughts to govern transportation ecology and logistics service quality.
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  • 文章类型: Journal Article
    In 2011 EULAR first published recommendations for the potential role of nurses in the management of patients with rheumatic diseases. To perform a literature update for the role of nurses in the management of chronic inflammatory arthritis (CIA) from 2010 to 2018. A systematic literature review (SLR) was performed according to the PRISMA guidelines, in accordance with the search strategies and eligibility criteria of the EULAR taskforce. The eligibility criteria were \"inflammatory arthritis\", \"interventions undertaken by nurses\" and \"relevant outcomes to answer the research questions\". Exclusion criteria were in itself contradictory outcomes, insufficient data, consideration if they did not clearly distinguish between nurses and health professionals or focused on chronic other than rheumatic diseases. Systematic reviews were classified as descriptive and excluded. Quality of selected trials was determined according to Oxford-levels of evidence 2009. A total of 48 articles and 10 abstracts were identified fulfilling the eligibility and exclusion criteria. Recommendation 1 has been well established in Europe so far. New evidence strengthens the recommendation 3, and-at least in part-recommendation 6. High evidence strengthens recommendation 4, especially for outpatients with low and stable disease activity. Some new evidence also exists for recommendations 7 and 8. This SLR reveals new evidence for the role of nurses in managing CIA patients since 2010, especially for RA-patients with low disease activity or in remission.
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  • 文章类型: Journal Article
    OBJECTIVE: to analyze the evidence available in the literature on the contributions of the Supervised Internship in nursing training in Brazil and the teaching-learning methods employed.
    METHODS: integrative review of the literature, with search of articles published between 2002 and 2016, in PubMed, LILACS, SciELO and Eric databases.
    RESULTS: Of the 4,699 articles consulted, 14 met the inclusion criteria. The analysis of these studies revealed three thematic categories: the understanding about the role of Supervised Internship; the teaching-learning processes employed; and their contributions to the training of nurses.
    CONCLUSIONS: this is a fundamental element in the academic training, since, depending on the didactic-pedagogical organization, it makes possible the (re) signification of the acquired knowledge throughout the course and realizes the professional competences. The teaching-learning methods are structured by the critical pedagogy, being the active methodologies the main choices of the authors.
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