为接受手术服务的老年人实施外科手术期间的医疗:一个定性案例研究
Margot E Lodge1,2,3, Jugdeep Dhesi4,5, David Jh Shipway6,7
1National Centre for Healthy Ageing, Melbourne, Australia.
BMC health services research
|March 16, 2024
概括
为接受手术的老年人 (POPS) 服务实施术后医疗需要了解当地的因素. 关键的促进者包括利益相关者参与和强有力的领导,灵活的策略对于成功实施POPS至关重要.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 全球采用基于证据的外科手术期间医疗对接受手术的老年人 (POPS) 服务仍然有限.
- 实施科学提供了一个框架,用于识别服务交付的障碍和促进者.
- 本研究调查了影响英国POPS服务实施的因素.
研究的目的:
- 确定影响英国接受外科手术 (POPS) 服务的老年人进行外科手术期间医学的实施的关键因素.
- 了解影响POPS倡议成功推广的障碍和促进因素.
主要方法:
- 在三个不同的英国卫生服务中采用了定性案例研究设计.
- 与56名参与POPS服务的临床医生和管理人员进行了半结构化访谈.
- 以实施研究综合框架 (CFIR) 为指导的专题分析被用于分析采访数据.
主要成果:
- 五个CFIR领域的14个因素被确定为POPS实施的相关因素.
- 共享的促进者包括利益相关者对POPS服务理性的理解以及来自网络,冠军和临床领导者的支持.
- 卫生服务如何适应促进者存在显著差异,影响了实施.
结论:
- 卫生服务应该制定量身定制的战略,以解决POPS实施的当地障碍和促进者.
- 建议优先了解本地网络,确定POPS冠军,并确保利益相关者了解服务逻辑.
- 该研究为未来研究POPS实施失败的研究提供了基础,以改进老年人外科手术期间护理模式.
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