■新南威尔士州(NSW)学龄儿童(5-18岁)未满足的身心健康需求,源于难以获得和参与医疗保健,可以通过基于学校的综合护理(SBIC)模式来解决。这项研究旨在了解卫生和教育部门之间为什么以及如何建立伙伴关系,在SBIC模型中,在为儿童提供护理方面很重要,并确定实施的促进因素和障碍。
■使用半结构化访谈和主题分析进行了定性研究。考虑了“以人为中心的综合卫生服务(IPCHS)”框架和Looman等人(2021年)的综合护理实施策略的原则。
■IPCHS框架内的主题:战略1:参与和赋予人民和社区权力-社区驱动的模型,改善获得医疗保健的机会,对儿童和家庭的积极成果,\'连接\',战略2:加强治理和问责制——系统集成和发展证据基础;战略3:重新调整护理模式——将医疗保健转移到学校减少不平等并提供文化安全的做法;战略4:协调部门内部和各个部门的服务——整合护理和稳定的劳动力;战略5:创造有利环境:领导,利益相关者的承诺,和充足的资源。
■在新南威尔士州实施SBIC模型的潜在策略包括社区咨询和共同设计;建立具有新能力和角色的多学科团队,例如接头和协调员;协作和共享领导;以及运营系统的一致性,同时在结构和灵活性之间保持平衡。
SBIC模式需要跨部门和与社区的高层协作,以提供向以儿童和家庭为中心的护理转变,从而提高参与度。卫生服务的获取和结果。
UNASSIGNED: The unmet physical and mental health needs of school-aged children (5-18 years) in New South Wales (NSW), stemming from poor access and engagement with healthcare, can be addressed by school-based integrated care (SBIC) models.This research aims to understand why and how partnerships between the health and education sector, in SBIC models, are important in providing care for children, and to identify the facilitating factors and barriers for implementation.
UNASSIGNED: A qualitative study was conducted using semi-structured interviews and thematic analysis. The principles of the \'Integrated People-Centred Health Service (IPCHS)\' framework and Looman et al\'s (2021) implementation strategies for integrated care were considered.
UNASSIGNED: Themes within IPCHS framework: Strategy 1: Engaging and empowering people and communities - community-driven models, improved access to healthcare, positive outcomes for children and families, \'connection\', and service provision for marginalised populations; Strategy 2: Strengthening governance and accountability - system integration and developing evidence base; Strategy 3: Reorienting the model of care - shifting healthcare to schools reduces inequity and provides culturally safe practice; Strategy 4: Coordinating services within and across sectors - integrating care and stable workforce; Strategy 5: Creating an enabling environment: leadership, stakeholder commitment, and adequate resourcing.
UNASSIGNED: Potential strategies for implementing SBIC models across NSW include community consultation and co-design; building multidisciplinary teams with new competencies and roles e.g. linkers and coordinators; collaborative and shared leadership; and alignment of operational systems while maintaining a balance between structure and flexibility.
UNASSIGNED: SBIC models require high-level collaboration across sectors and with communities to provide a shift towards child and family centred care that improves engagement, access and outcomes in health delivery.