Community governance in primary health care: towards an international Ideal Type

机译：初级保健社区治理：走向国际理想类型

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Summary xml:id="hpm2360-para-0001">Against a global background of increased resource management responsibilities for primary health care agencies, general medical practices, in particular, are increasingly being required to demonstrate the legitimacy of their decision making in market oriented environments. In this context a scoping review explores the potential utility for health managers in primary health care of community governance as a policy concept. The review of recent research suggests that applied learning from international health systems with enhanced approaches to public and patient involvement may contribute to meeting this requirement. Such approaches often characterise local health systems in Latin America and North West Europe where innovative models are beginning to respond effectively to the growing demands on general practice. The study design draws on documentary and secondary data analyses to identify common components of community governance from the countries in these regions, supplemented by other relevant international studies and sources where appropriate. Within a comprehensive framework of collaborative governance the components are aggregated in an Ideal Type format to provide a point of reference for possible adaptation and transferable learning across market oriented health systems. Each component is illustrated with international exemplars from recent organisational practices in primary health care. The application of community governance is considered for the particular contexts of GP led Clinical Commissioning Groups in England and Primary Health Networks in Australia. Some components of the Ideal Type possess potentially powerful negative as well as positive motivational effects, with PPI at practice levels sometimes hindering the development of effective local governance. This highlights the importance of careful and competent management of the growing resources attributed to primary health care agencies, which possess an increasingly diverse range of non‐governmental status. Future policy and research priorities are outlined. Copyright ? 2016 John Wiley & Sons, Ltd. </abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><Abstract XMLNS =“http://www.wiley.com/namespaces/wiley”type =“main”xml：id =“hpm2360-abs-0001”xml：lang =“en”> <title type =“main” >摘要</ title> XML：ID =“HPM2360-PARA-0001”>在全球范围内，对初级医疗机构的资源管理责任增加，特别是越来越需要展示合法性的一般医疗实践他们在市场导向环境中的决策。在这方面，范围审查探讨了作为政策概念的社区治理初级保健人员的潜在工具。最近的研究审查表明，从国际卫生系统的应用学习，具有增强的公众和患者参与方法可能有助于满足这一要求。这些方法经常在拉丁美洲和西北欧洲的当地卫生系统表征，创新模型开始有效地应对越来越多的一般实践需求。该研究设计涉及纪录片和二级数据分析，以确定这些地区各国的社区治理的共同组成部分，其其他相关的国际研究和何处酌情补充。在一个完整的协作治理框架内，组件以理想的类型格式聚合，以提供跨市场导向的卫生系统的可能适应和可转移学习的参考点。每个组成部分都以初级医疗保健的最近组织实践的国际示范说明。社区治理的应用被认为是澳大利亚英格兰和初级卫生网络的GP LED临床调试组的特定背景。理想类型的一些组成部分具有潜在的强大的负面以及积极的励志效果，PPI在实践水平有时妨碍了有效的地方治理的发展。这突显了仔细和称职管理归因于初级卫生保健机构的越来越多的资源的重要性，这些资源归属于越来越多的非政府地位。概述了未来的政策和研究优先事项。版权？ 2016年John Wiley＆amp; SONS，LTD。</ p> </ abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-30709/'>《The International journal of health planning and management》</a> <b style="margin: 0 2px;">|</b><span>2017年第4期</span><b style="margin: 0 2px;">|</b><span>共21页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Meads Geoffrey&option=202" target="_blank" rel="nofollow">Meads Geoffrey;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Russell Grant&option=202" target="_blank" rel="nofollow">Russell Grant;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Lees Amanda&option=202" target="_blank" rel="nofollow">Lees Amanda;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>Health Sciences ResearchUniversity of WinchesterUK;</p> <p>Southern Academic Primary Care Research Unit School of Primary Health CareMonash;</p> <p>Health and Wellbeing Research and Development GroupUniversity of WinchesterUK;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/191.html" title="预防医学、卫生学">预防医学、卫生学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=primary health care&option=203" rel="nofollow">primary health care;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=general practice&option=203" rel="nofollow">general practice;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=community&option=203" rel="nofollow">community;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=collaborative governance&option=203" rel="nofollow">collaborative governance;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=international&option=203" rel="nofollow">international;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=non‐governmental organisation&option=203" rel="nofollow">non‐governmental organisation;</a> </p> <div class="translation"> 机译：初级保健;一般练习;社区;协作治理;国际;非政府组织; 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Health Care in a Rural Community in the Northwest of Cameroon)</a> <b>[R] </b> . <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Schoenmaker, A. &option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Schoenmaker, A. ,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Wodrada, H.&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Wodrada, H. </a> <span>1987</span> </span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：位于Noord-West Kameroen的plattelandsgemeenschap的Gezondheidszorg（Tabenken的初级卫生保健。喀麦隆西北部农村社区的卫生保健）</span> </p> </li> </ul> <ul style="display: none;"> <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/academic-journal-cn_chinese-primary-health-care_thesis/0201285671393.html">走向社会开展初级口腔卫生保健活动</a> <b>[J]</b> <span> <a 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<span> <a href="/journal-cn-16641/" target="_blank" rel="nofollow" class="tuijian_authcolor"> . 中国全科医学 </a> </span> <span> . 2021</span><span>,第025期</span> </span> </div> </li> <li> <div> <b>3. </b><a class="enjiyixqcontent" href="/academic-journal-cn_chinese-general-practice_thesis/0201255941026.html">国际初级卫生保健的曲折历程及启示</a> <b>[J]</b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=周业勤&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 周业勤</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=钱东福&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">,钱东福</a> <span> <a href="/journal-cn-16641/" target="_blank" rel="nofollow" class="tuijian_authcolor"> . 中国全科医学 </a> </span> <span> . 2013</span><span>,第032期</span> </span> </div> </li> <li> <div> <b>4. </b><a class="enjiyixqcontent" href="/academic-journal-cn_chinese-primary-health-care_thesis/0201212015174.html">中国农村初级卫生保健发展国际研讨会开幕式致辞</a> 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