Key Factors and Improving Paths of Promoting Long-Acting Injections in Communities in Beijing

Area of Science:

• Health Policy
• Implementation Science
• Pharmaceutical Services

Background:

• Long-acting injections offer therapeutic advantages but face implementation challenges.
• Effective promotion policies are crucial for wider adoption and patient benefit.

Purpose of the Study:

• To identify key factors influencing the implementation of long-acting injection promotion policies.
• To propose actionable strategies for overcoming identified barriers.

Main Methods:

• Qualitative interviews with 46 stakeholders (health administrators, healthcare workers, patients) in Beijing.
• Utilized the Consolidated Framework for Implementation Research (CFIR).
• Proposed countermeasures based on expert recommendations.

Main Results:

• Identified barriers across evidence, adaptability, relative advantage, complexity, cost, patient needs, external collaboration, policies, organizational structure, and self-efficacy.
• Stakeholder perspectives revealed initial success but significant obstacles remain.

Conclusions:

• Policy coordination and adaptation are essential for effective long-acting injection promotion.
• Improving organizational incentives and strengthening individual advocacy and education are recommended.
• Addressing multifaceted barriers is key to successful implementation.