Tarpsektorinio bendradarbiavimo modelio kūrimo prielaidos, galimybės ir kliūtys pirminės sveikatos priežiūros sistemoje dirbant su socialinės rizikos šeimomis

Straipsnyje atskleidžiamas tarpsektorinio bendradarbiavimo modelio kūrimo prielaidos, galimybės ir kliūtys dirbant su socialinės rizikos šeimomis pirminės sveikatos priežiūros (PSP) sistemoje. Tarpsektorinio bendradarbiavimo patirties ir potencialo vertinimas bandomosiose PSP įstaigose vyko taikant veiklos tyrimo prieigą. Duomenys rinkti focus grupių metodu: kiekvienai profesinei grupei surinktos atskiros grupės. Siekiant sukurti tarpsektorinio bendradarbiavimo modelį, parengta mokymo programa skirtingų sektorių specialistams: šeimos gydytojams, bendrosios praktikos slaugytojoms ir socialiniams darbuotojams. Remiantis focus grupių rezultatais, gautais pasibaigus mokymams, pateikiamos tarpsektorinio bendradarbiavimo modelio įgyvendinimo rekomendacijos specialistams, dirbantiems PSP su socialinės rizikos šeimomis. The article reveals the assumptions of the intersectoral collaboration model, opportunities and obstacles while working with families at social risk in the primary health care system. An experience and assessment of intersectoral collaboration model in the pilot health care agencies was accomplished carrying out participatory action research. The data were collected in three focus groups, organizing separate groups for each professional group separately. In order to create an intersectoral collaboration model a training programme was conducted for professionals from different sectors: family doctors, nurses and social workers. 30 professionals were involved in training programme. During the trainings, participants gained new knowledge and skills how to work with families at social risk in the intersectoral team. They also formed a positive attitude according to the social risk families and became more aware of the different sectors activities and functions, which can support to solve complex cases. The results from focus groups and gained experience from the trainings helped to distinguish the basic principles of the intersectoral collaboration model. However, not all participants from the training group tried to implement model in the practice. It was influenced by participants` internal and agencies` external factors. For the majority of the training participants two days of trainings were not enough, in case to acquire sufficient knowledge how to work with complex cases in... [to full text]