实践便利,以支持家庭医生鼓励COVID-19疫苗接种:一个多方法过程评估
Jennifer Shuldiner1, Huda Shah2, Stacey Bar-Ziv3
1Women's College Hospital Institute for Health System Solutions and Virtual Care, Toronto, Ontario, Canada (Shuldiner, Shah, Tradrous, Desveaux, Ivers); Jennifer.shuldiner@wchospital.ca.
实践便利化改善了家庭医生在家庭医生中接种COVID-19疫苗. 关键障碍包括人员短缺和医生倦怠,而促进者支持和建立信任对参与至关重要.
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
- 实施科学 实施科学
背景情况:
- 加拿大安大略省的许多家庭医生有大量未接种2019年冠状病毒疾病 (COVID-19) 疫苗的患者.
- 实践便利化干预旨在改善医疗保健的提供和结果.
研究的目的:
- 评估一项旨在提高加拿大安大略省家庭医生中COVID-19疫苗接种率的实践便利化干预的过程.
- 确定实施这一干预措施的障碍和推动因素.
主要方法:
- 在随机对照试验中进行了多方法过程评估.
- 数据通过描述性统计,与医生和辅导员进行定性访谈以及辅导员现场笔记来收集.
- 专题分析用于分析数据,并将实施因素映射到结构,组织,医生和患者层面.
主要成果:
- 在300名接触家庭医生中,有90名 (30%) 接受了促进干预.
- 参与受结构因素 (由于COVID-19而造成的人员短缺),组织因素 (技术问题,员工守门),医生因素 (倦怠) 和患者因素 (专业人群) 的影响.
- 促进者支持解决技术问题,并将医生与医学学生联系起来,增强了参与度.
结论:
- 为服务于高需求人口的医生提供资源不足的干预措施必须考虑时间限制并提供资源.
- 与医生和前台工作人员建立信任和关系对于成功的实践促进和参与至关重要.
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