尼泊尔物理治疗师实施结果措施的障碍和促进因素:一项混合方法研究
Anupa Pathak1, J Haxby Abbott2, Nibha Bajracharya3
1Centre for Musculoskeletal Outcomes Research, Department of Surgical Sciences, University of Otago, New Zealand; School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Musculoskeletal science & practice
|October 16, 2023
概括
在尼泊尔实施标准化结果措施需要解决时间限制和缺乏当地语言工具等障碍. 通过法规强制使用它们是基于证据的物理治疗实践的关键推动者.
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:
- 标准化结果测量对于基于证据的实践至关重要.
- 在低收入和中等收入国家,实施挑战更为明显.
- 特定环境的障碍和促进因素需要进行调查.
研究的目的:
- 在尼泊尔的物理治疗师中探索使用标准化结果措施的障碍和促进因素.
- 了解影响采用患者报告,基于绩效和临床医生报告的措施的因素.
主要方法:
- 在尼泊尔进行了一项探索性连续混合方法研究.
- 通过26名理疗师的焦点小组收集了定性数据.
- 通过在线调查收集了定量数据,并分发给了125名理疗师.
主要成果:
- 确定的主要促进者是通过组织或国家法规强制使用结果措施.
- 主要障碍包括时间短缺,当地语言的措施不可用,以及患者随访的困难.
- 发现的新挑战是患者随访问题和组织文化,包括层次结构.
结论:
- 研究结果提供了对尼泊尔实施成果措施的背景需求的见解.
- 建议包括建立对措施的共识,跨文化适应和开发监管途径.
- 解决已识别的障碍对于在发展中国家推进基于证据的物理治疗至关重要.
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