数据在NHS初级保健委托的使用:一个现实的评估
Alexandra Jager1, Chrysanthi Papoutsi2, Geoff Wong2
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. alexandra.jager@exeter.ox.ac.uk.
BMC primary care
|December 15, 2023
概括
初级保健专员使用数据进行决策,但面临挑战. 识别像数据冠军一样的促进者和解决互操作性等障碍是有效的数据驱动健康政策的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
- 在医疗保健中的数据科学.
背景情况:
- 政策制定者鼓励国家卫生服务 (NHS) 的初级保健专员使用数据进行决策,以改善健康结果和管理成本.
- 关于初级保健专员如何在决策过程中利用数据的研究有限.
研究的目的:
- 了解初级保健专员在委托中使用数据的机制和背景.
- 确定与初级保健委托数据使用相关的结果.
主要方法:
- 为了开发上下文-机制-结果配置 (CMO),采用了现实的评估.
- 来自30次采访和51次会议的定性数据使用现实主义逻辑进行了分析.
- 有目的的抽样确保了多样化的参与者招募.
主要成果:
- 开发了35个CMO,形成了一个总体的现实主义程序理论.
- 促进环境包括数据冠军的存在和感知到的外部专业知识.
- 发现的障碍是数据互操作性问题和影响基于证据的决策的财务压力.
结论:
- 初级保健专员认为数据对于信息,改进和决策的合理性是有价值的,尽管面临重大挑战.
- 存在可复制的背景来支持数据使用,为数据驱动的委托提供政策建议.
- 这些发现与政府对数据驱动健康政策的承诺有关.
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