一种混合方法方法,用于评估在联邦资格医疗中心实施的高血压管理计划的实施流程和项目成本
Aisha Tucker-Brown1, Michelle Spafford2, John Wittenborn3
1Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, 4770 Buford Highway NE, GA, 30341, Atlanta, USA. htj1@cdc.gov.
概括
高血压管理计划 (HMP) 成功适应了资源有限的环境,改善了高血压控制. 这种以团队为基础的方法在联邦资格医疗中心证明了成本效益和可行性.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 临床药房 临床药房
背景情况:
- 基于团队的护理对于高血压控制是有效的.
- 高血压管理计划 (HMP) 是在高资源环境中开发的.
- 联邦合格卫生中心 (FQHCs) 经常为患有高血压的人口提供服务.
研究的目的:
- 在资源有限的FQHC中适应和评估HMP.
- 描述适应过程并计算项目成本.
- 识别HMP实施的促进者和障碍者.
主要方法:
- 使用了混合方法评估.
- 通过调整,实施了HMP的关键组件.
- 临床药剂师进行高血压管理访问 (HMV).
主要成果:
- 该HMP被调整并实施在一个FQHC.
- 计划总成本为325,532美元 (每月每名患者3.62美元).
- 促进者包括临床药剂师和提供者的参与;障碍物包括员工流动和提供者的时间感知.
结论:
- 一个以团队为基础,以患者为中心的高血压管理方法可以适应FQHCs.
- 调整后的HMP证明了可行性和成本效益.
- 成功实施需要解决已识别的障碍.
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