在贫困社区实施综合社区方法:使用实施研究综合框架 (CFIR) 进行基于理论的过程评估
Sanneke J M Grootjans1, M M N Stijnen1,2, I Hesdahl-De Jong1
1Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands.
公民和专业人员的早期参与,以及共同的健康愿景,是实施人口健康管理倡议的关键推动者. 这些要素促进了不同利益相关者之间的合作和共享理解.
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:
- 在荷兰马斯特里赫特的四个社会经济地位较低的社区调查了综合社区方法 (ICA) 的实施情况.
- ICA是一个人口健康管理计划,旨在提高人口健康,护理质量和专业满意度,同时降低成本.
- 这项研究的重点是从指导小组成员,专业人士和公民的角度确定ICA实施的促进者和障碍.
研究的目的:
- 在实施综合社区方法 (ICA) 中识别促进者和障碍者.
- 了解利益相关者对实施人口健康管理倡议的看法.
- 为优化社区健康计划的推广提供见解.
主要方法:
- 从2016年12月到2020年12月使用混合方法研究设计与数据三角化.
- 利用实施研究综合框架 (CFIR) 进行数据收集和分析.
- 通过77次采访,97次观察,7个重点小组,65份文件和2项开放式调查收集数据.
主要成果:
- 公民科学参与了居民的需求,并将积极健康纳入日常生活中,促进了实施.
- 在指导小组层面的强有力的领导力有助于克服所识别的障碍.
- 现有的金融基础设施阻碍了社区层面的预算整合.
结论:
- 公民和专业人士的早期参与对于成功实施至关重要.
- 对健康的共同愿景促进了共同的语言,这对于在人口健康管理中进行合作至关重要.
- 解决结构性障碍,如金融基础设施,对于有效的社区卫生倡议至关重要.
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