在门诊精神卫生中维持协作慢性护理模式:一个矩阵化多个案例研究
Bo Kim1,2, Jennifer L Sullivan3,4, Madisen E Brown5
1Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, 150 South Huntington Avenue, Boston, MA, 02130, USA. bo.kim@va.gov.
Implementation science : IS
|February 19, 2024
概括
维持基于证据的实践,如协作慢性护理模型 (CCM) 取决于提供者合作,员工流动期间的知识保留和强大的内部促进者. 这些因素是医疗保健机构长期成功的关键.
科学领域:
- 实施科学 实施科学
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 维持基于证据的实践 (EBP) 对质量护理和健康公平至关重要.
- 确定影响EBP可持续性的因素是一个关键的研究需求.
- 矩阵式多个案例研究 (MMCS) 是一种识别实施因素及其组合的方法.
研究的目的:
- 应用MMCS来确定影响VA门诊精神卫生诊所协作慢性护理模型 (CCM) 可持续性的因素.
- 在实施支持结束后3-4年评估可持续性.
主要方法:
- 对30个提供者采访的定向内容分析.
- 作为代码,使用了协作慢性护理模型 (CCM) 元素和医疗服务 (i-PARIHS) 领域的研究实施综合促进行动.
- 根据可持续性 (高/中/低) 分类网站,并使用i-PARIHS域分析影响因素.
主要成果:
- 在九个VA诊所中,CCM的可持续性各不相同.
- 三个关键因素与可持续性有着强烈的趋势:"协作/团队合作"",员工/领导人流动"",内部促进者"的存在.
- 外部促进者,模型的清晰度,跨学科协调和诊所空间也在不同程度上影响了可持续性.
结论:
- 在VA心理健康诊所中,CCM的可持续性与提供者合作,在过渡期间保留知识和熟练的内部辅导员密切相关.
- 结果为未来的试验提供信息,以加强实施便利化,以提高可持续性.
- MMCS提供了一种系统的方法,用于在不同的EBP和环境中调查可持续性因素.
更多相关视频
相关概念视频
Community Based Intervention
43
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
43
Methods of Documentation VI: Case Management Model
573
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
573
Documentation in Long-Term and Home Healthcare Setting
892
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
892
Chronic Pancreatitis II: Collaborative Care
90
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
90
Specialized Care Centers and Settings-I
942
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
942
Models of Health Promotion and Illness Prevention II
1.6K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.6K


