文章基本信息

标题：A work force model to support the adoption of best practice care in chronic diseases – a missing piece in clinical guideline implementation
本地全文：下载
作者：Leonie Segal ; Kim Dalziel ; Tom Bolton 等
期刊名称：Implementation Science
印刷版ISSN：1748-5908
电子版ISSN：1748-5908
出版年度：2008
卷号：3
期号：1
页码：35
DOI：10.1186/1748-5908-3-35
语种：English
出版社：BioMed Central
摘要：The development and implementation of an evidence-based approach to health workforce planning is a necessary step to achieve access to best practice chronic disease management. In its absence, the widely reported failure in implementation of clinical best practice guidelines is almost certain to continue. This paper describes a demand model to estimate the community-based primary care health workforce consistent with the delivery of best practice chronic disease management and prevention. The model takes a geographic region as the planning frame and combines data about the health status of the regional population by disease category and stage, with best practice guidelines to estimate the clinical skill requirement or competencies for the region. The translation of the skill requirement into a service requirement can then be modelled, incorporating various assumptions about the occupation group to deliver nominated competencies. The service requirement, when compared with current service delivery, defines the gap or surplus in services. The results of the model could be used to inform service delivery as well as a workforce supply strategy.
关键词：Practice Care ; Health Workforce ; Chronic Disease Management ; Skill Requirement ; Workforce Planning