采用RE-AIM分析框架进行农村计划评估:通过小组访问 (ACP-GV) 提前护理规划的经验国家评估
Monica M Matthieu1,2, Laura D Taylor3, David A Adkins1
1U.S. Department of Veterans Affairs Medical Center, Central Arkansas Veterans Healthcare System, HSR&D Center of Innovation: Center for Mental Healthcare & Outcomes Research, Little Rock, AR, United States.
Frontiers in health services
|April 9, 2024
概括
覆盖范围,有效性,采用,实施和维护 (RE-AIM) 框架成功评估了通过团体访问计划的国家预先护理计划,覆盖了超过54,000名退伍军人,并证明了农村医疗保健机构的计划可持续性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 项目评价 项目评价
- 农村卫生干预措施 农村卫生干预措施
背景情况:
- 美国退伍军人事务部 (VA) 农村卫生办公室 (ORH) 实施了一个分析框架,以标准化对农村退伍军人倡议的评估.
- 通过小组访问预先计划护理 (ACP-GV) 是VA综合医疗系统内的全国性,以患者为中心的干预措施.
研究的目的:
- 描述"覆盖范围,有效性,采用,实施和维护 (RE-AIM) "框架的应用,用于评估国家ACP-GV计划.
- 记录ORH关于使用RE-AIM用于计划评估的反过程中所吸取的经验教训.
主要方法:
- 利用了VA企业数据仓库和国家计划管理数据库 (2018-2023财年) 的行政医疗数据.
- 应用RE-AIM构造来评估累积和年度计划指标,包括覆盖范围,有效性,采用,实施和维护.
主要成果:
- 在ACP-GV中,有54,167名独特的退伍军人,其中包括19,032名农村地区的退伍军人 (2018-2023财年).
- 在2023财年观察到高的实施遵守率 (91.7%) 和报告的知识增加率 (55%).
- 该计划的采用包括66个活跃的站点和1556名受过培训的VA员工,其中27个站点在资金后继续 (维护).
结论:
- 合作开发RE-AIM指标平衡临床和科学投入.
- ORH的年度反增强了评估指标的具体性和重点.
- 使用RE-AIM对于改善农村退伍军人的健康结果和报告现实世界的计划影响至关重要.
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