在初级保健中优化基于证据的骨关节炎指南的实施:开发知识动员工具包
Laura Swaithes1, Zoe Paskins2, Andrew Finney3
1Impact Accelerator Unit, Versus Arthritis Primary Care Centre, School of Medicine, Keele University, Staffordshire ST5 5BG, United Kingdom.
Osteoarthritis and cartilage
|January 18, 2024
概括
一个新的工具包优化了知识动员,用于在初级保健中实施骨关节炎指南. 它综合了研究和利益相关者的意见,以改善基于证据的护理服务.
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
- 类风湿病学 类风湿病学
背景情况:
- 在初级保健中实施骨关节炎 (OA) 临床指南存在重大挑战.
- 有限的资源阻碍了有效的知识动员 (KM) 来实施指南.
- 了解影响KM的因素对于优化OA护理至关重要.
研究的目的:
- 开发一个工具包,以优化知识动员 (KM) 在初级保健.
- 促进基于证据的骨关节炎指南的实施.
- 为了解决将最佳实践转化为初级保健机构的复杂性.
主要方法:
- 三个定性数据集的三角测量.
- 利益相关者达成共识,其中包括27名参与者.
- 让公众参与者参与专门的会议,为工具包开发提供信息.
主要成果:
- 确定了53个关键发现,精细化为6个领域的30个建议声明.
- 领域包括KM方法,知识调动者作用,背景,规划,干预性质和优先级对齐.
- 利益相关者就建议达成共识,为最终工具包提供了信息.
结论:
- 鉴定的因素优化了KM在初级保健中实施OA指南的KM.
- 一个工具包,由经验数据和利益相关者参与提供信息,提供了总体的KM原则.
- 建议考虑公平获取和进一步研究工具包的实用性和可转移性.
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