定义重新实施的定义
Rachel Moyal-Smith1, James C Etheridge2,3, Ami Karlage2
1Ariadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, 401 Park Drive, 3Rd Floor West, Boston, MA, 02215, USA. rsmith@ariadnelabs.org.
Implementation science communications
|June 5, 2023
概括
重新实施,即系统地重新引入干预措施,提供了通过解决最初的失败来实现期望结果的第二次机会. 本研究定义了重新实施,并确定了其发生的三个常见情况.
科学领域:
- 实施科学 实施科学
- 医疗保健管理的管理
- 公共卫生干预 公共卫生干预
背景情况:
- 实施新工具或实践的初步尝试可能不会产生期望的结果.
- 重新实施包括在同一环境中系统地重新引入干预措施,允许修改以解决以前的失败.
- 这篇文章定义了重新实施,并基于文献示例提出了分类学.
研究的目的:
- 定义重新实施并为其各种情况制定分类学.
- 为从事重新实施工作的从业者和研究人员提供一个框架.
- 在现有的实施科学文献中探索重新实施的概念.
主要方法:
- 进行了文献范围审查,以确定重新实施的情况.
- 搜索术语被代开发和测试,在PubMed和CINAHL中进行搜索.
- 用专题分析将导致重新实施的情况分类为15个选定的文章.
主要成果:
- 确定了重新实施的三个主要情况:执行失败,干预有缺陷和不持续的干预.
- 这些情况可能会重叠,每个情况都需要具体的策略来成功地重新实施.
- 该研究在15个条款中确定了11个不同的重新实施案例.
结论:
- 重新实施是一种公认的做法,但在文献中缺乏一致的术语和描述.
- 重新实施的清晰定义和分类学可以指导从业者和研究人员.
- 需要进一步的研究来弥合重新实施实践和科学理解之间的差距.
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