对于慢性疼痛患者群体医疗访问的实施决定因素:系统性审查
Isabel Roth1, Malik Tiedt2,3, Carrie Brintz4,5,6
1Department of Physical Medicine and Rehabilitation, Program on Integrative Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA. iroth@email.unc.edu.
Implementation science communications
|May 24, 2024
概括
团体医疗访问 (GMVs) 可以改善慢性疼痛护理,但实施面临障碍. 了解这些多层次因素是扩展这种有效的疼痛管理模式的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 疼痛管理 疼痛管理
- 实施科学 实施科学
背景情况:
- 提供慢性疼痛护理面临着重大挑战.
- 集体医疗访问 (GMVs) 是全面慢性疼痛管理的创新模式.
- 系统性审查以确定成年慢性疼痛护理中转基因病毒实施的障碍和促进因素.
研究的目的:
- 系统地审查和确定影响成年慢性疼痛患者群体医疗访问 (GMVs) 实施的决定因素 (障碍和促进因素).
主要方法:
- 在所有研究设计中,对所有慢性疼痛的GMV实施的同行评审研究进行系统审查.
- 在PubMed,EMBASE,Web of Science和Cochrane图书馆进行的搜索;不包括个人预约或小组治疗.
- 以实施研究综合框架为指导的数据综合,使用混合方法评估工具评估偏差风险.
主要成果:
- 包括25项研究 (33篇文章) 与2364名参与者,使用不同的方法 (定性,RCT,定量,混合方法).
- 确定了关键的多层次决定因素:转基因病毒的相对优势,临床医生的能力/动机,成本,患者的需求/机会,资源的可用性和外部设置政策.
- 定性研究通常获得更高的质量评级.
结论:
- 对于慢性疼痛的GMV的实施受到多层次因素的影响.
- 需要进一步的研究来全面探索这些决定因素.
- 需要制定和测试实施策略,以促进慢性疼痛患者的转基因病毒扩展.
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