识别退伍军人事务的障碍和促进者 整体卫生整合 使用实施研究的最新综合框架
概括
全身健康教练对于实施以退伍军人为中心的全身健康系统至关重要. 它们改善了退伍军人和退伍军人工作人员的沟通和知识获取,提高了医疗保健质量.
科学领域:
- 医疗保健系统研究 医疗保健系统研究
- 实施科学 实施科学
- 公共卫生 公共卫生
背景情况:
- 退伍军人事务部 (VA) 在全国范围内实施了以退伍军人为中心的全健康系统倡议.
- 在不同的VA站点中,实施策略各不相同.
研究的目的:
- 综合系统性障碍和促进退伍军人参与全健康倡议的促进者,使用实施研究综合框架 (CFIR).
- 提供对国家医疗保健系统实施中的优势和改进领域的全面分析.
主要方法:
- 数据收集是由来自11个VA质量学者网站的高级研究员进行的.
- 结果是使用CFIR框架组织的,包括来自六个地点的数据.
主要成果:
- 关键的创新因素包括成本,复杂性,产品和可访问性.
- 内部设置因素涉及关系连接,沟通,兼容性,资源,学习和知识获取.
- 个别因素包括创新提供者,领导者,团队和整个医疗保健服务的动机.
结论:
- 整体健康教练对于实施至关重要,为退伍军人和工作人员促进沟通,关系和知识获取.
- 建议在每个地点不断评估和改进实施流程.
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