■组织间的合作具有挑战性,但对于管理体弱的老年人的复杂和全面的需求至关重要。因此,在实施综合护理计划时,有必要调查不同障碍对组织间合作的影响。这项研究的目的是调查住院和门诊工作人员对他们认为对综合护理计划的组织间合作有影响的因素的看法。
■这项研究是一项横断面研究,包括医院的工作人员,初级保健和市政卫生和社会护理。
■在测量可能导致组织间合作困难的因素方面,住院和门诊护理的工作人员之间没有显着差异。工作人员对所有因素的看法分歧很大,比如远距离的教育水平,法律法规,了解彼此的工作设置,来自组织间合作的经验,不同的职业,职业地位和权力的变化,心理社会因素,如积极的工作环境和人际化学。
■需要开发多学科团队文化和组织间协作的途径,以改善护理的连续性。
■员工的教育水平影响了组织间合作的障碍,并可以指导未来综合护理计划的发展。
UNASSIGNED: Inter-organisational collaboration is challenging but essential in managing the complex and comprehensive needs of frail older people. Therefore, there is a need to investigate the influence of different barriers to inter-organisational collaboration when implementing an integrated care programme. The aim of this study was to investigate both inpatient and outpatient staff views on the factors they deemed to be influential to inter-organisational collaboration for an integrated care programme.
UNASSIGNED: The study was a cross-sectional study and included staff from hospitals, primary care and municipal health and social care.
UNASSIGNED: There were no significant differences between staff from inpatient and outpatient care in measuring factors that may cause difficulties for inter-organisational collaboration. Staff views diverged significantly on all factors, such as educational level at long physical distances, laws and regulations, knowledge of each others work settings, experience from inter-organisational collaboration, different professions, variations in professional status and power, psychosocial factors such as positive work environment and interpersonal chemistry.
UNASSIGNED: A multidisciplinary team culture and avenues for inter-organisational collaboration need to be developed for improved care continuity.
UNASSIGNED: The staffs\' educational level influenced what was perceived as barriers to inter-organisational collaboration, and may guide future development of integrated care programmes.