探索在初级保健中实施CanRisk的障碍和促进因素:定性主题框架分析分析
Stephanie Archer1, Francisca Stutzin Donoso2, Tim Carver2
1Department of Public Health and Primary Care, Department of Psychology.
在初级保健中使用CanRisk工具的障碍包括时间,竞争优先级和IT问题. 促进者包括易用性和潜在的临床影响,表明需要培训和系统集成.
科学领域:
- 在瘤学瘤学.
- 初级医疗保健医学 一级医疗保健医学
- 医疗信息学 医疗信息学
背景情况:
- 该CanRisk工具使用NICE推的BOADICEA模型计算乳腺癌风险.
- 尽管可用,但CanRisk在初级保健中的实施是有限的.
研究的目的:
- 确定在初级保健机构实施CanRisk工具的障碍和促进因素.
主要方法:
- 一项涉及英格兰东部初级保健医师 (PCP) 的多方法研究.
- PCP使用CanRisk进行案例研究,通过采访提供反,并填写问卷.
主要成果:
- 关键障碍包括时间限制,竞争优先事项,IT基础设施的局限性以及PCP缺乏信心/知识.
- 促进者包括简单的工具导航,感知到的临床实用性和风险预测工具的日益接受.
结论:
- 了解障碍物和促进因素对于有效实施CanRisk至关重要.
- 未来的努力应该解决时间效率,IT集成和针对PCP的有针对性的培训.
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