确定实施自我管理干预的最重要的背景因素:德尔菲研究
Janneke Noordman1, Monique Heijmans1, Rune Poortvliet1
1Netherlands institute for health services research (Nivel), Utrecht, the Netherlands.
Patient education and counseling
|June 23, 2023
概括
利益相关者确定了关键的上下文因素 (CF),对于在慢性疾病中实施自我管理干预措施 (SMI) 至关重要. 调整干预措施以满足患者需求成为医疗保健专业人员 (HCP) 最重要的因素.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 慢性疾病管理 慢性疾病管理
- 实施科学 实施科学
背景情况:
- 对于2型糖尿病,肥胖,慢性肺炎和心力衰竭等慢性疾病的自我管理干预措施 (SMIs) 的成功实施受到各种上下文因素 (CF) 的影响.
- 之前的文献审查确定了31个不同级别的潜在CF,这些CF可能会影响SMI的实施.
- 在最关键的CF上达成共识对于SMI在临床实践中的有效采用和整合至关重要.
研究的目的:
- 达成利益相关者在影响自我管理干预措施 (SMI) 成功实施的最重要的上下文因素 (CF) 上达成共识.
- 为不同的慢性病和干预组件优先考虑这些CF.
- 在不同的医疗保健环境中为中小企业的选择和适应提供信息.
主要方法:
- 进行了三轮的Delphi研究,涉及44个利益相关者.
- 利益相关者得分,优先考虑,并讨论了31个已识别的CFs.
- 这项研究旨在确定对SMI实施最有影响力的CF.
主要成果:
- 在不同SMI组件和疾病中,在最重要的CF中观察到高度重叠.
- 利益相关者认为",医疗保健专业人员 (HCP) 能够根据患者的情况和知识水平调整建议,沟通或干预的能力"是最关键的CF.
- 与患者,医疗保健专家和相互作用相关的因素被认为是最重要的.
结论:
- 在实施基于证据的中小企业时,必须仔细考虑上下文因素.
- 根据个体患者的需求"定制"干预措施被强调为卫生保健工作者最关键的方面.
- 已确定的CF赋予利益相关者权力,在特定背景下就采用合适的中小企业做出明智决策,有助于缩小研究与实践之间的差距.
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