确定实施跨系统合作策略:与儿童福利和行为健康组织进行多站点定性研究
Alicia C Bunger1, Emmeline Chuang2, Amanda M Girth3
1Division of General Internal Medicine, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA. alicia.bunger@osumc.edu.
Implementation science : IS
|February 12, 2024
概括
这项研究确定了七个跨系统的协作策略,以改善受儿童虐待和物质使用障碍影响的家庭的综合护理. 这些策略提高了人员配置,服务获取和跨系统干预中的案例规划.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 社会工作 社会工作 社会工作
背景情况:
- 综合健康,行为健康和社会服务的跨系统干预改善了客户的结果.
- 成功的实施依赖于使前线服务与组织运作保持一致.
- 有限的经验性关注已经给了合作策略连接多个实施环境.
研究的目的:
- 确定,描述和指定在俄俄州清醒治疗和减少创伤 (俄俄州START) 干预中使用的多层次协作策略.
- 检查受儿童虐待和父母吸毒障碍影响的家庭的跨系统合作策略.
主要方法:
- 第一个阶段:多个地点的定性设计,其中17个县实施俄俄州START.
- 第二阶段:专家小组验证和确定策略的规范.
- 数据收集涉及48个小组采访104名员工和使用代模板和内容分析进行分析.
主要成果:
- 确定了七个跨系统协作策略进行实施.
- 战略重点是人员配置 (专业知识合同,联合监督,共同定位),服务访问 (转介协议,加速访问协议) 和案例规划 (共享决策,数据共享).
- 专家小组成员详细说明了这些策略的操作细节和感知到的好处.
结论:
- 一系列跨系统协作策略显示出改善综合护理人员配置,服务获取和病例规划的前景.
- 这些策略在所有实施阶段都被领导者,主管和前线工作人员利用.
- 这些发现为未来的研究提供了基础,以测试这些协作策略的有效性.
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