使用探索,准备,实施,维持 (EPIS) 框架来评估合作重新参与的受控试验 (CoRECT)
Heather Elder1, Simona G Lang1, Merceditas Villanueva2
1Massachusetts Department of Public Health, Boston, MA, United States.
Frontiers in public health
|December 18, 2023
概括
合作性重新参与控制试验 (CoRECT) 成功实施了"数据到护理" (D2C) 战略,以重新将艾滋病毒感染者 (PWH) 投入护理. 根据当地因素调整干预措施,并吸引利益相关者是成功实施的关键.
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:
- 这是一个很棒的节目,这是一个很棒的节目.
- 关心数据的关心数据
- (D2C) 战略使用公共卫生监测和诊所数据来改善艾滋病毒感染者 (PWH) 艾滋病毒治疗的连续性.
- 合作重新投入的受控试验 (CoRECT) 检查了三个司法管辖区对PWH无照顾者的D2C实施情况.
研究的目的:
- 以回顾性地描述使用EPIS框架的D2C干预的实施过程.
- 为公共卫生机构和合作伙伴提供对未来D2C活动的见解和指导.
主要方法:
- 利用EPIS (探索,准备,实施,维持) 框架来分析实施过程.
- 在三个试验地点 (康涅狄格州,马萨诸塞州,费城) 进行了研究协议的回顾性审查和代讨论.
- 与病例识别,诊所和患者互动以及可持续性相关的组织和运营实践进行比较.
主要成果:
- 试验地点在D2C干预实施方面有所不同,受先前经验,数据基础设施,人员能力和诊所关系的影响.
- 关键的经验教训包括探索新的数据来源,早期的利益相关者参与,建立灵活性,并在现有结构中整合活动.
结论:
- 该CORECT研究为D2C干预实施提供了一个蓝图,以使PWH重新参与护理.
- 成功的干预措施需要根据当地操作因素量身定制,并适应不断变化的临床和公共卫生实践.
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