在临床环境中实施创伤信息化护理和创伤响应服务:潜伏类回归分析
Katherine M Anderson1, Kaitlin N Piper1, Ameeta S Kalokhe2,3
1Department of Behavioral, Social, and Health Education Sciences, Emory University Rollins School of Public Health, Atlanta, GA, United States.
Frontiers in psychiatry
|November 2, 2023
概括
拥有更多资源和更好的内部设置的诊所更有可能实施创伤信息化护理 (TIC) 并为艾滋病毒感染者提供创伤响应服务. 强大的内部环境是改善医疗保健参与和保留的关键.
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
- 公共卫生 公共卫生
背景情况:
- 对于艾滋病毒感染者 (PLWH) 来说,患者的参与和保留至关重要.
- 临床环境可以无意中重新创伤人际暴力的幸存者,阻碍寻求护理.
- 在瑞安·怀特艾滋病毒/艾滋病诊所实施创伤信息化护理 (TIC) 是必不可少的,但具有挑战性.
研究的目的:
- 根据内部设置属性,识别艾滋病毒诊所的不同子组.
- 评估临床子组与ICT和创伤响应服务的实施之间的关系.
主要方法:
- 从47家瑞安·怀特诊所的317名参与者的调查数据中进行了潜在类分析.
- 使用实施研究综合框架 (CFIR) 评估内部设置构造.
- 多级回归用于预测ICT实施和服务提供.
主要成果:
- 确定了四个临床子组:弱内部设置,孤立和资源稀缺,沟通不足和强大的内部强大.
- 强大的内部设置与更高程度的ICT实施有显著的关联.
- 资源丰富的诊所提供的创伤响应服务数量是那些内部设置较弱的诊所的两倍.
结论:
- 临床内部设置特征是影响ICT实施的可修改因素.
- 加强内在设置属性可以提高对PLWH的创伤信息和创伤响应护理的提供.
- 这项研究突出了改善弱势群体医疗保健参与的关键领域.
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