规划,运营和评估患者合作伙伴参与初级保健研究:一个逻辑模型
Annals of family medicine
|January 25, 2024
概括
在初级保健研究中开发患者参与 (PE) 的逻辑模型至关重要. 该模型以实证方式说明了资源和活动如何因环境驱动而导致研究成果和医疗保健实践的改善.
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
- 初级保健研究研究初级保健研究
背景情况:
- 在初级保健研究中的患者参与 (PE) 越来越多地被认为具有提高研究质量,相关性和吸收的潜力.
- 尽管有越来越多的证据,但在研究过程中为PE的规划和运营提供明确的指导仍然是必要的.
研究的目的:
- 在一项初级保健实施研究计划中开发一种经验基础的患者参与 (PE) 逻辑模型.
- 逻辑模型旨在说明因果关系的途径,将背景,资源,活动和PE的预期结果联系起来.
主要方法:
- 在PriCARE研究计划中采用了一种工具性案例研究设计,评估加拿大初级保健诊所的病例管理干预 (CMI).
- 数据是通过参与者观察和对22名研究小组成员的深入采访收集的,包括主要调查员,联合调查员,研究人员和患者合作伙伴.
- 使用逻辑模型组件作为编码类别进行演性主题分析,使用NVivo 12软件进行,随后研究小组对逻辑模型进行代改进和验证.
主要成果:
- 开发的逻辑模型经验证明了背景,资源 (人力,财务,组织,沟通) 和PE活动 (例如,患者合作伙伴招聘,培训,治理发展,临床医生支持) 之间的相互关系.
- 调动的资源促进了各种PE活动,有助于加强沟通,知识翻译,PE文化,能力建设和健康研究的民主化.
- 该研究确定了医疗保健的重大益处,包括改善干预实施,改善患者参与护理,优化健康结果和资源利用,并加强对决策者和临床医生的支持.
结论:
- 经验推导的逻辑模型为初级保健研究计划中的患者和公众参与 (PPE) 倡议的规划,运营和评估提供了有价值的框架.
- 该模型可以指导研究人员有效地整合患者的观点,并最大限度地提高研究对医疗保健实践和结果的影响.
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