在荷兰四个实验室中实施药物坚持干预措施;背景问题
Stijn Hogervorst1,2, Marcia Vervloet3, Ruby Janssen4
1Department of Health Sciences, Faculty of Science, Vrije Universiteit, Amsterdam, The Netherlands.
BMC health services research
|September 26, 2023
概括
实施药物坚持干预措施是具有挑战性的. 这项研究在四个早期采用者生活实验室中确定了积极的上下文因素,为更广泛地采用这些关键的医疗保健策略提供了见解.
科学领域:
- 实施科学 实施科学
- 医疗保健管理的管理
- 药物坚持研究 药物坚持研究
背景情况:
- 有效的药物坚持干预措施存在,但在常规护理中接受率很低.
- 背景因素对于干预成功至关重要,但往往被描述得很差.
- 这项研究检查了实验室实验中的环境,实施药物坚持干预措施.
研究的目的:
- 在实施基于证据的药物坚持干预措施之前,描述四个实验室的特定环境特征.
主要方法:
- 使用12个个人访谈和4个重点小组与项目负责人和医疗保健提供者进行定性研究.
- 使用实施研究综合框架 (CFIR) 领域 ("内部"和"外部"设置) 来指导面试主题.
- 从四个荷兰初级保健生活实验室转录的采访的演分析.
主要成果:
- 活实验室是药房驱动的,创新的,具有积极的实施气候和强有力的领导.
- 生活实验室和干预措施之间存在很高的兼容性.
- 对外交政策的担忧,特别是没有退款的担忧是常见的.
结论:
- 这些早期采用者生活实验室的上下文特征说明了有利的实施环境.
- 这些发现可以指导药物坚持干预措施向经验较少的环境传播.
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