社区组织指导标准化,适应性和创新:上海一体化模式中的同行支持教训
Megan Evans1, Yuexing Liu2, Xiaoyu Wu3
1Peers for Progress, Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 135 Dauer Drive, Campus Box 7440, Chapel Hill, NC, 27599-7440, USA.
Translational behavioral medicine
|July 5, 2023
概括
社区组织有效地适应了12个上海社区糖尿病管理的标准化同行支持 (PS). 这种方法促进了当地适应,创新和干预措施的成功扩展,突出了协作成功因素.
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
- 社区健康 社区健康
背景情况:
- 同行支持 (PS) 对慢性疾病管理有价值,但扩大干预措施是具有挑战性的.
- 社区组织提供了一个框架,使标准化PS适应当地需求.
- 开发和实施PS干预措施需要有效的标准化和适应策略.
研究的目的:
- 探索社区组织的使用,以适应糖尿病管理的标准化PS干预措施.
- 检查12个上海社区PS计划的实施流程,成功因素和挑战.
- 确定标准化,适应和创新的策略,以社区为基础的PS慢性疾病.
主要方法:
- 融合混合方法设计,整合项目记录,采访和实施评估.
- 半结构面试的定性分析,以了解社区适应过程.
- 量化实施评估,以评估计划的覆盖范围和忠诚度.
主要成果:
- 社区成功地调整了标准化PS材料,以满足当地需求和能力.
- 社区成员根据可用资源对计划实施负责.
- 关键的成功因素包括社区间的合作;涉及农村适应和COVID-19影响的挑战.
结论:
- 社区组织是标准化,调整和创新糖尿病PS干预措施的可行模式.
- 该方法支持有效的慢性疾病管理策略的成功扩展和传播.
- 需要进一步适应农村环境,证明该模型的弹性和灵活性.
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