评估加纳心脏倡议 - 从不同角度进行实用混合方法研究的设计和理由:研究协议
Kavita Singh1, Elom Otchi2, Rupal Shah-Rohlfs1
1Heidelberg Institute of Global Health.
Research square
|June 9, 2023
概括
这项研究评估了加纳心脏倡议 (GHI),这是加纳改善心血管健康的计划. 它评估了GHI的覆盖范围,有效性和可持续性,以告知更广泛的实施.
科学领域:
- 撒哈拉以南非洲的心血管疾病预防和管理.
- 加强针对非传染性疾病的卫生系统.
- 公共卫生干预和评估.
背景情况:
- 在撒哈拉以南非洲,对高血压和心血管疾病 (CVD) 护理的卫生系统干预措施的严格评估是有限的.
- 加纳心脏倡议 (GHI) 是一项多元组件的供给侧干预计划,旨在改善加纳的心血管健康.
- 本研究旨在全面评估GHI的覆盖范围,有效性,采用,实施忠实性,成本和可持续性.
研究的目的:
- 评估加纳心脏倡议 (GHI) 的覆盖范围,有效性,采用率,实施忠实性,成本和可持续性.
- 为全国范围内扩大GHI产生与政策相关的数据,并为低收入和中等收入国家提供教训.
主要方法:
- 一个混合和多方法设计,比较大阿克拉地区的干预设施与中央和西部地区的控制设施.
- 利用RE-AIM框架,世卫组织卫生系统的构建块和医学研究所的质量维度.
- 采用调查 (设施,提供者,患者退出),医疗记录审查,定性访谈,以及对常规健康数据的中断时间序列分析.
主要成果:
- 该研究旨在产生有关GHI关键绩效指标的政策相关数据.
- 主要结果指标包括医疗服务提供绩效,查率,诊断,治疗坚持和患者满意度.
- 经济评估和预算影响分析计划为扩大规模提供信息.
结论:
- 该研究将产生有关GHI绩效和影响的政策相关数据.
- 调查结果将为加纳GHI在全国范围内的扩大提供信息.
- 学到的教训将可转移到其他低收入和中等收入国家的环境中,以改善心血管健康.
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