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背景行医辅助手段是提高初级医疗质量的重要元素。已有研究表明行医辅助手段在提高初级医疗质量管理和提供医疗服务质量方面有效。然而,关于行医辅助人员培训、辅助活动及其在初级医疗质量提升方面作用的研究却很少。本文探讨了行医辅助人员培训,并以加拿大安大略省一项初级医疗学习合作质量提升项目为例,对行医辅助人员的作用进行研究。方法制定行医辅助人员培训大纲,同时对行医辅助人员和初级医疗团队在行医辅助手段提升初级医疗质量方面的相关经验和看法进行调查。收集的资料包括培训用品、活动日志、自我反思报告、对行医辅助人员和初级医疗参与者的半结构访谈记录。从行医辅助人员经验和初级医疗参与者的角度,对行医辅助人员的作用进行分析和探讨。利用描述性数据分析辅助活动种类和频率。结果本研究纳入16名行医辅助人员和7个家庭医疗团队。行医辅助人员参加为期2 d的集中培训班,之后进行持续培训,其在多数时间直接参与医疗团队工作,进行持续的学习和训练、交流和管理,并担任指导者、资源供应者、促成者和激励者。医疗团队对行医辅助人员的作用表示满意,但他们希望辅助人员能够为提升行医质量活动提供更多的现场辅助。结论行医辅助人员在安大略省学习合作项目中在行医质量提升方面起到了重要作用。行医辅助人员应作为指导者、促成者和激励者对行医进行帮助。本研究建议行医辅助人员在初级医疗机构通过质量提升活动为行医团队提供帮助。
Background Medical assistance is an important element in improving the quality of primary care. Studies have shown that paramedical assistance is effective in improving the quality of primary care management and in providing quality medical services. However, few studies have been conducted on paramedical training, supporting activities and their role in improving the quality of primary care. This article explores the training of paramedical staff and uses the quality improvement project of a primary medical study in Ontario, Canada as an example to study the role of paramedical staff. Methods To develop a training aid program for paramedical workers, and to investigate the experience and opinions of paramedical workers and primary medical teams in improving the quality of primary care through paramedical assistance. Information collected includes training supplies, activity logs, self-reflection reports, and semi-structured interview records of paramedical workers and primary care participants. From the perspective of paramedical staff experience and primary health care practitioners, the role of paramedical support staff is analyzed and discussed. Use descriptive data to analyze the type and frequency of ancillary activities. Results The study included 16 paramedics and 7 family medical teams. Paramedical staff participate in a two-day intensive training course followed by on-going training that takes them directly to the medical team most of the time, continuing learning and training, communication and management, and mentoring, resource providers, facilitators and Motivator. The medical team is satisfied with the role of paramedics, but they hope paramedics will be able to provide more on-site assistance to enhance the practice of quality medicine. Conclusion Paramedical staff played an important role in improving the quality of medical practice in the Ontario Study Co-operation Program. The paramedical staff should serve as mentors, facilitators and motivators to help practice medicine. This study suggests that paramedical support staff assist the practice team through quality improvement activities in primary care settings.