应用实施研究的综合框架来评估社区快速干预服务
Alice Moult1, Dereth Baker2, Helen Twohig2
1School of Medicine, Keele University, Newcastle-Under-Lyme, ST5 5BG, UK. a.moult@keele.ac.uk.
BMC health services research
|August 9, 2023
概括
社区快速干预服务 (CRIS) 需要更清晰的定义,以优化患者护理并防止入院. 确定了实施挑战和促进者,以指导未来的服务开发.
科学领域:
- 医疗保健服务研究 医疗保健服务研究
- 实施科学 实施科学
- 社区卫生干预措施 社区卫生干预
背景情况:
- 社区快速干预服务 (CRIS) 成立于2019年,旨在通过为次急性医疗需求提供快速的家庭护理,防止住院.
- 克里斯在两个小时内为患者在其通常居住地提供响应,增强社区医疗保健服务.
研究的目的:
- 评估CRIS的实施情况,确定关键挑战和促进者.
- 为未来的服务发展提供信息,优化患者护理,并为类似的社区干预服务分享学习.
主要方法:
- 实施研究综合框架 (CFIR) 指导了评估方法.
- 与医疗保健领导者和与CRIS接口的临床医生进行了半结构面试.
- 两个实践社区会议收集了利益相关者的观点,以三角化调查结果.
主要成果:
- 出现了三个主题:上下文因素 (例如,COVID-19大流行,服务扩展),服务身份和导航复杂性.
- 服务适应性既带来了实施方便者,也带来了挑战.
- 参与者建议对现有的CRIS模型进行改进.
结论:
- CRIS可能需要重新定义,特别是在与急性,初级,社区和社会服务的整合方面.
- 利用CFIR框架有效地确定了影响CRIS实施的促进者和挑战.
- 服务接口的清晰度对于优化CRIS模型及其对患者护理的影响至关重要.
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