制定一项实施策略,以例行收集通用患者报告的结果措施:多学科社区康复的定性研究
Laura Jolliffe1,2,3,4, Nadine E Andrew1,2,4, Velandai Srikanth1,2,4
1National Centre for Healthy Ageing (NCHA), Melbourne, Australia.
Disability and rehabilitation
|September 22, 2023
概括
这项研究探讨了工作人员在社区康复中使用EQ-5D-5L的观点. 开发了一种基于理论的方法,将患者报告的结果指标 (PROM) 嵌入常规护理中.
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
- 康复医学 康复医学 康复医学
背景情况:
- 患者报告结果措施 (PROMs) 的常规管理对于社区康复的基于证据的实践至关重要.
- EQ-5D-5L是一个有价值的通用PROM,但它的实施面临挑战.
- 了解员工的看法是制定有效实施策略的关键.
研究的目的:
- 探索工作人员对实施EQ-5D-5L在社区康复中的障碍和推动因素的看法.
- 开发一种基于理论的实施方法,用于PROMs的日常管理.
- 使用实现科学框架来优化PROM集成.
主要方法:
- 一项定性研究,涉及三个地点的多学科康复工作人员进行半结构化采访.
- 采访被转录并使用理论领域框架 (TDF) 编码.
- 来自行为变化轮的行为变化技术被确定为开发假设的实施策略.
主要成果:
- 出现了四个关键主题:对以患者为中心的护理的影响,有效性考虑,服务层面的影响和实际嵌入问题.
- 将障碍和促进因素映射到TDF领域,特别是"对后果的信念"",强化"和"环境背景和资源".
- 开发了五种假设策略,包括环境重组,激励,说服,启用和社会支持等行为改变技术.
结论:
- 一种有效的实施方法强调流程自动化,网站冠军的参与,以及例行数据报告.
- 使用PROM数据来告知服务提供对于成功集成至关重要.
- 基于理论的策略对于克服障碍和促进PROM在社区康复中的常规使用至关重要.
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