评估使用RE-AIMIM在NCI指定癌症中心实施以社区为中心的患者导航干预措施
Elizabeth S Ver Hoeve1, Elizabeth Calhoun2, Monica Hernandez3
1University of Arizona, Tucson, AZ, USA. everhoeve@arizona.edu.
BMC health services research
|April 29, 2024
概括
这项研究表明,以社区为中心的患者导航计划成功地减少了服务不足的癌症患者的障碍,并改善了他们的健康结果. RE-AIM框架指导了评估,证明了癌症护理环境中的有效实施和可持续性.
科学领域:
- 实施科学 实施科学
- 健康差距 研究 研究 研究 研究
- 瘤病患者护理专业的患者护理
背景情况:
- 患者导航是一种基于证据的干预措施,通过解决患者障碍来减少癌症健康差异.
- 患者导航程序设计和集成的变化限制了其有效性.
- RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) 框架为评估实施提供了一个可靠的方法.
研究的目的:
- 通过RE-AIM框架评估以社区为中心的患者导航干预措施的实施情况.
- 评估干预措施对降低障碍和患者报告结果的影响.
- 检查NCI指定癌症中心内该计划的采用,整合和维护情况.
主要方法:
- RE-AIM框架指导了从2018年6月到2021年10月的混合方法评估.
- 单变量和双变量分析检查了人口统计和结果之间的关联.
- 定性数据和过程指标评估了采用,交付忠实性和维护.
主要成果:
- 这项研究包括311名服务不足的参与者,其中许多人认为自己是西班牙裔/拉丁裔,收入低或医疗补助入学.
- 观察到障碍物显著减少,身体健康,心理健康,自我效能和沟通满意度有所改善.
- 数据表明成功采用,整合和持续交付,过渡到机构资助的计划.
结论:
- 该RE-AIM框架促进了一个以社区为重点的患者导航计划的全面评估.
- 该干预措施在癌症护理环境中成功实施.
- 这项研究为其他对实施类似计划感兴趣的瘤学机构提供了一个模型.
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