一次ケアにおける多職種アドバンストプラクティスの現実主義的評価（REMAP）：研究プロトコル

科学分野:

• Health Services Research; Workforce Development; Primary Care Management

背景:

• Advanced practitioners (APs) are increasingly vital in English primary care to combat workforce shortages.; Current implementation, regulation, and scope of AP roles show significant variation.; Limited understanding exists regarding the impact of APs on healthcare organization, staff, and patients.

研究 の 目的:

• To investigate the contextual factors and mechanisms influencing advanced practice implementation outcomes in primary care.; To develop evidence-based recommendations for optimizing advanced practitioner roles and supporting workforce development.

主な方法:

• A realist evaluation employing mixed methods across four work packages in English primary care.; Data collection involved semi-structured interviews, online surveys, case studies with staff and patients, and stakeholder workshops.

主要な成果:

• 分析 interviews with AP workforce leads (n=15) and surveys of APs (n>300) informed the initial programme theory.; Case studies in five GP practices, including interviews with staff (n=10) and patients (n=5), further refined the theory.; Stakeholder workshops facilitated the translation of findings into actionable policy and practice recommendations.

結論:

• The study provides crucial insights into the effective implementation of advanced practice in primary care.; Recommendations will support workforce development, enhance patient experiences, and improve overall health outcomes.