在加拿大安大略省初级保健中评估一种独特和创新的糖尿病护理模式:采用融合并行设计的多方法研究的协议
Maria Mathews1, Rhiannon Lyons2,3, Stewart Harris2,4
1Department of Family Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada maria.mathews@schulich.uwo.ca.
BMJ open
|June 10, 2024
概括
本研究使用四重目标方法评估初级保健糖尿病支持计划 (PCDSP). 该PCDSP为高风险患者提供创新的糖尿病护理,改善卫生系统的影响.
科学领域:
- 主要的护理是初级护理.
- 糖尿病管理 糖尿病管理
- 医疗服务研究 医疗服务研究
背景情况:
- 糖尿病的复杂性日益增加,使家庭医生面临挑战.
- 高风险人群需要专门的,基于社区的护理.
- 主要护理为主导的过渡诊所有需求.
研究的目的:
- 评估初级保健糖尿病支持计划 (PCDSP) 对卫生系统的影响.
- 采用四重目标的方法来评估PCDSP.
- 在初级环境中提供创新的糖尿病护理模式.
主要方法:
- 在五项研究中设计了融合的并行混合方法:病例,患者,提供者,并发症和成本效益.
- 从诊所工作人员,管理人员,医生,专家和患者 (2011-2023) 收集数据.
- 定性 (内容,主题分析) 和定量 (描述性统计,物流回归) 数据分析.
主要成果:
- 这项研究旨在定义干预和支持复制.
- 分析将解决所有四重目标和公平考虑.
- 通过整合五项研究的发现,将开发一个商业案例.
结论:
- 该PCDSP提供了一个创新的模型来管理复杂的糖尿病病例.
- 该研究将为初级保健主导的糖尿病支持的有效性和可扩展性提供证据.
- 研究结果将为未来的慢性疾病管理初级保健策略提供信息.
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