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在骨关节炎护理中实施与生活方式相关的治疗方式:使用"实施综合框架"确定实施策略 实施变革匹配工具的研究和专家建议
Sjoukje Bouma1, Inge van den Akker-Scheek1, Dieuwke Schiphof2
1Department of Orthopaedics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Musculoskeletal care
|June 25, 2023
概括
对骨关节炎实施与生活方式相关的治疗方式 (LRTM) 需要跨学科的方法. 这项研究确定了14个关键策略,包括建立联盟,以克服医疗保健专业人员 (HCP) 面临的障碍.
科学领域:
- 类风湿病学 类风湿病学
- 实施科学 实施科学
- 医疗保健管理的管理
背景情况:
- 与生活方式相关的治疗方式 (LRTMs) 在关节骨关节炎管理中未得到充分利用,尽管有临床指南.
- 在医疗保健专业人员 (HCP) 之间存在障碍,阻碍了LRTM的采用.
研究的目的:
- 确定有效的实施策略,以增加LRTM在骨关节炎护理中的使用.
- 从医疗人员的角度来看,解决LRTM实施的障碍.
主要方法:
- 利用实施研究综合框架 (CFIR) 和实施变革专家建议 (ERIC) 实施战略匹配工具.
- 在CFIR构造中映射出已识别的影响因素,并将障碍输入到匹配工具中.
- 根据该工具的输出,选择ERIC的实施策略.
主要成果:
- 选择了14个实施策略.
- 最受欢迎的策略是"建立联盟".
- 八个战略重点是"发展利益相关者相互关系",另一些则是"使用评估和代策略"",利用财务策略"和"吸引消费者集群".
结论:
- 跨学科的方法对于在骨关节炎护理中实施LRTM至关重要.
- 选择的战略为量身定制的实施计划提供了基础.
- 进一步的研究应侧重于实施和评估实施计划的有效性.
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