在初级卫生保健中实施健康促进实践的期望,使用个人向的生活方式干预措施:定性研究
Emma Nilsing Strid1, Lars Wallin2, Ylva Nilsagård3
1University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden. emma.nilsing-strid@oru.se.
BMC primary care
|June 16, 2023
概括
在初级保健中实施健康促进是具有挑战性的. 医疗保健专业人员看到了价值,但需要支持结构和患者共同生产才能成功地进行生活方式干预. 这有助于实践改变.
科学领域:
- 公共卫生和卫生服务研究研究
- 初级医疗保健 实施 科学 实践
- 促进健康的战略 促进健康的战略
背景情况:
- 有证据支持健康促进干预措施,但采用常规初级卫生保健 (PHC) 进展缓慢.
- 时间行动项目支持在PHC实施生活方式干预措施.
- 了解医疗保健专业人员 (HCP) 对障碍和促进者的看法对于成功实施至关重要.
研究的目的:
- 描述管理人员,辅导员和医疗保健人员在实施前的期望.
- 确定在PHC实施健康生活方式推广的感知障碍和促进因素.
主要方法:
- 使用五个重点小组与27名医疗保健工作者进行定性研究,并与经理/辅导员进行16次个人访谈.
- 在瑞典中部的五个医疗保健中心进行,这些医疗保健中心参与了"及时行动"项目.
- 分析采用基于实施研究综合框架 (CFIR) 的演性内容分析和感应性分析.
主要成果:
- 从CFIR领域 (创新,外部/内部设置,个人特征) 确定了12个构造.
- 医疗保健工作者认识到需要在PHC促进健康,强调患者共同生产生活方式干预措施.
- 预计的挑战包括可持续性,结构改进,专业间合作,以及对目的的共同理解.
结论:
- 医疗保健人员重视在PHC实施健康生活方式推广.
- 改变常规实践带来了挑战,需要实施战略来解决已识别的障碍和促进者.
- 对实践变革背后的目的的集体理解对于成功实施至关重要.
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