从国家实施退伍军人事务临床资源中心 (CRH) 计划的学习来改善获得护理的机会:为六年评估的协议
Lisa V Rubenstein1,2, Idamay Curtis3, Chelle L Wheat3
1Evidence-Based Practice Center, RAND Corporation, Santa Monica, CA, USA. lisar@rand.org.
BMC health services research
|July 24, 2023
概括
退伍军人事务临床资源中心 (CRH) 计划通过虚拟人员解决方案提高了患者获得护理的机会. 本评估协议指导CRH的评估.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 项目评估 项目评估
背景情况:
- 退伍军人事务 (VA) 临床资源中心 (CRH) 计划解决了超过1000个VA地点的初级和心理健康人员短缺问题,特别是在农村地区.
- 美国退伍军人局的初级保健办公室 (OPC) 开发了CRH,以提供虚拟的,时间有限的员工支持,改善患者获得护理的机会.
- 一个为期六年的评估协议是由VA初级保健分析团队 (PCAT) 与CRH领导人和利益相关者合作开发的.
研究的目的:
- 以前性地确定CRH计划成果以及旨在实现这些成果的关键要素.
- 具体说明评估设计和数据收集方法,以评估CRH的进展和成功.
- 指导五个地理分布的评估小组的活动,以进行全面的CRH评估.
主要方法:
- 一个多方法评估设计,包括定性和定量元素.
- 使用观察和准实验方法来评估国家,区域,地点和患者层面的影响.
- 在程序评估理论,实施科学框架和应急人员配置的文献中对协议的基础.
主要成果:
- 评估协议旨在评估CRH计划在六年内为VA和退伍军人提供投资回报率.
- 综合调查结果将重点关注整体方案的有效性.
- 该协议包括研究和临床操作合作伙伴的代审查和修订.
结论:
- 卫生系统需要强大的评估协议来指导新的临床计划的决策.
- 本公布的协议旨在提高未来CRH评估结果的有效性和实用性.
- 该协议是学习健康系统伙伴关系中计划计划评估计划的一个例子.
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