探索反促进联合干预的内容和交付:系统审查
Michael Sykes1, Zahava R S Rosenberg-Yunger2, Matthew Quigley3
1Northumbria University, Newcastle Upon Tyne, UK. Michael.sykes@Northumbria.ac.uk.
Implementation science : IS
|May 28, 2024
概括
反促进干预措施通过支持接受者来提高医疗保健质量. 本综述详细介绍了它们的内容和交付,强调了各种各样的实施策略,并报告了未来改进的差距.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 实施科学 实施科学
- 医疗服务研究 医疗服务研究
背景情况:
- 政策制定者和研究人员主张支持反接收者以提高医疗保健质量.
- 存在各种方法来增强接受者在质量改进计划中的能力.
- 本研究侧重于随机对照试验中与审计和反一起提供的反促进干预措施.
研究的目的:
- 描述反促进干预的内容和交付.
- 分析这些干预措施中的实施策略,理论基础和定制流程.
- 确定报告中的差距,并为未来的干预开发提供建议.
主要方法:
- 通过最新的Cochrane审计和反审查确定论文的系统审查.
- 利用基于干预内容描述框架的试点提取形式.
- 采用图形,统计和叙事方法来描述干预内容和交付.
主要成果:
- 审查了146篇论文,详细介绍了104项反促进干预措施.
- 确定了26个不同的实施策略,每项干预中位数为3个,显示出日益增长的趋势.
- 发现干预剂量 (持续时间,频率,接收者) 有显著差异,并注意到大量报告差距,尽管报告质量正在改善.
结论:
- 反促进设计中的异质性需要考虑有效性评估.
- 为未来的干预开发者提供了建议,强调了诸如实施变革的专家建议等框架的价值.
- 填补报告缺口对于复制和学习至关重要;未来的研究应该解决影响改进活动的外部因素.
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