预实施阶段对于成功实施基于证据的计划的相对价值
Zoe M Alley1, Jason E Chapman1, Holle Schaper1
1Oregon Social Learning Center, 10 Shelton McMurphey Blvd, Eugene, OR, 97401, USA.
Implementation science : IS
|July 21, 2023
概括
高度的实施忠实性,特别是在早期阶段,对于成功的程序启动和能力至关重要. 专注于准备计划大大提高了实现计划里程碑的可能性.
科学领域:
- 实施科学 实施科学
- 项目评估 项目评估
- 公共卫生 公共卫生
背景情况:
- 许多程序无法按预期提供服务.
- 测量实施过程的忠实性是理解故障点的关键.
- 这些知识有助于实现计划启动和交付能力.
研究的目的:
- 评估不同阶段的实施过程忠实性如何预测程序启动和能力.
- 确定成功实施服务交付的关键因素.
主要方法:
- 通过使用实施完成阶段 (SIC) 来检查了27个程序中的1287个站点的实施过程忠实性数据.
- 评估了预实施 (第一阶段) 和实施 (第二阶段) 的忠实度得分,作为计划启动和能力的预测指标.
- 利用混合效应回归模型,将网站嵌入到程序中.
主要成果:
- 总体而言,项目启动概率很低 (35%),但根据项目 (64%) 有很大的差异.
- 实施忠诚度积极预测了计划启动和能力.
- 准备计划 (SIC预实施阶段3) 活动最快地增加了启动概率;在预实施和实施阶段都需要高准确性才能获得能力.
结论:
- 强大的实施过程忠实性,特别是在早期阶段,与实现计划启动和能力密切相关.
- 严格的预实施过程对于成功实施计划至关重要.
- 调查结果强调了在整个实施生命周期中监测忠实性的重要性.
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