卓越传播:评估一个系统,以识别,复制和传播有前途的创新实践在退伍军人卫生管理部门
George L Jackson1,2, Gemmae M Fix3,4,5, Brandolyn S White1
1Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs (VA) Health Care System, Durham, NC, United States.
Frontiers in health services
|February 29, 2024
概括
退伍军人健康管理局的退伍军人健康管理局.
科学领域:
- 医疗保健创新传播传播
- 实施科学 实施科学
- 医疗服务研究 医疗服务研究
背景情况:
- 退伍军人卫生管理局 (VHA) 卓越传播 (DoE) 计划旨在传播成功的创新.
- 能源部使用竞争性流程来识别和复制有希望的实践.
- 为实践实施提供了便利和支持.
研究的目的:
- 评估VHA DoE计划的长期实施和可持续性.
- 评估能源部在向VHA传播医疗保健实践方面的有效性.
- 确定影响采用和维护创新的因素.
主要方法:
- 混合方法评估使用来自申请,采用,调查,采访和观察的数据.
- 围绕 RE-AIM (覆盖范围,有效性,采用,实施和维护) 框架进行组织.
- 分析了3,280个申请和88个被指定的有希望的实践,从2016年到2022年.
主要成果:
- 能源部促进了1440个有希望的实践的采用/复制,其中180个在农村设施.
- 具有强大的国家节目办公室伙伴关系和较低的实施成本的实践传播最好.
- 56%的设施在实施后长达6年的时间内保持了采用的做法.
结论:
- 能源部已经建立了一个可持续的系统来识别和传播VHA创新.
- 该计划有助于学习健康系统,专注于公平,高质量的护理.
- 能源部有效地支持全国各地传播最佳实践.
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