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Investigación sobre implementación en Atención Primaria (Parte 2): ¿Cómo realizar investigación sobre implementación?
Wen Ting Tong1, Chor Yau Ooi2, Anne Sales3
1Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Resumen
Este estudio detalla un enfoque estructurado e informado por la teoría para la investigación sobre implementación en atención primaria. Enfatiza la identificación de barreras, la selección de estrategias y la evaluación de resultados para mejoras de atención médica escalables y sostenibles.
Área de la Ciencia:
- Ciencia de la Implementación
- Investigación en Atención Primaria
- Investigación en Servicios de Salud
Sus antecedentes:
- La investigación sobre implementación es crucial para traducir prácticas basadas en evidencia en entornos de atención primaria.
- Se necesita un enfoque estructurado e informado por la teoría para guiar los complejos procesos de implementación.
Objetivo del estudio:
- Esbozar los procesos clave para realizar investigación sobre implementación en atención primaria.
- Enfatizar la importancia de seleccionar teorías, modelos y marcos relevantes.
- Proporcionar un enfoque estructurado para esfuerzos de implementación efectivos, escalables y sostenibles.
Principales métodos:
- Describió tres pasos principales: identificar determinantes, asignar estrategias y evaluar resultados.
- Destacó el uso de marcos de determinantes (por ejemplo, Marco Consolidado para la Investigación sobre Implementación, Marco de Dominios Teóricos).
- Mencionó recursos para la selección de estrategias (por ejemplo, taxonomía ERIC, Taxonomía de Técnicas de Cambio de Comportamiento) y evaluación (por ejemplo, resultados de implementación de Proctor, RE-AIM).
Principales resultados:
- Identificó procesos clave para la investigación sobre implementación, incluyendo la identificación de determinantes, la asignación de estrategias y la evaluación de resultados.
- Mostró la utilidad de varios marcos y taxonomías para guiar las etapas de la investigación.
- Enfatizó el papel crítico de la participación de las partes interesadas durante todo el proceso de investigación.
Conclusiones:
- Un enfoque estructurado e informado por la teoría mejora la efectividad, escalabilidad y sostenibilidad de los esfuerzos de implementación en atención primaria.
- La utilización de marcos y taxonomías establecidos facilita la planificación y evaluación sistemáticas.
- La participación continua de las partes interesadas es esencial para una investigación sobre implementación exitosa.
Palabras clave:
Diseminación e implementaciónMedicina familiarInvestigación sobre implementaciónCiencia de la implementaciónAtención primariaMás Videos Relacionados
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