临床医生对积极的烟草治疗计划的看法:质量评估
Anne C Melzer1,2, Megan E Campbell3, Hildi J Hagedorn3,4
1Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, MN, USA. acmelzer@umn.edu.
临床医生支持为吸烟的慢性阻塞性肺病 (COPD) 患者提供积极的烟草治疗. 实施障碍包括竞争的优先事项,成本和不明确的人员和融资模式,需要采用卫生系统战略.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 呼吸系统医学 呼吸系统医学
背景情况:
- 积极的烟草治疗计划对慢性阻塞性肺病 (COPD) 患者的戒烟有效.
- 这些基于证据的计划在临床实践中未得到充分利用.
- 需要对临床医生的观点进行定性评估,以指导程序的开发.
研究的目的:
- 评估临床医生对实施COPD患者戒烟的积极宣传的看法.
- 识别感知障碍,最佳的程序结构和技术集成.
主要方法:
- 与各种各样的医疗保健临床医生进行了半结构面试.
- 实施研究综合框架指导了采访过程.
- 使用定向内容分析来分析转录的采访.
主要成果:
- 临床医生认识到主动推广COPD戒烟的潜在好处.
- 关于优先人群和该计划的临床优先事项存在分歧.
- 临床医生倾向于多道接触 (电话,面对面,短信),因为他们认为技术使用较低.
- 关键的障碍包括竞争的优先事项,成本和不明确的人员/计费模式.
结论:
- 临床医生对COPD患者主动推广的支持是显而易见的.
- 最佳的计划结构,人员配置和资金需要进一步澄清.
- 卫生系统应实施战略,加快采用这些重要计划.
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