在联邦资格医疗中心 (FQHC) 实施先进的以团队为基础的护理模式:评估实施促进者和挑战
Aesha K Patel1, Emily Stiehl2, Natalie Siegel2
1Near North Health, Chicago, IL, USA.
Preventive medicine
|June 22, 2024
概括
在联邦合格医疗中心 (FQHCs) 实施先进的基于团队的护理 (aTBC) 需要强有力的领导和适应能力. 关键促进者包括现有证据和试点能力,而挑战涉及外部干扰和模型复杂性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 基于团队的护理模式
背景情况:
- 先进的基于团队的护理 (aTBC) 涉及护理团队协调员在患者接收和提供者访问期间.
- 联邦合格卫生中心 (FQHCs) 对于获得初级保健至关重要,特别是对于服务不足的人群.
研究的目的:
- 在FQHC环境中评估aTBC的实施方便者和挑战.
- 确定影响FQHC中aTBC模型成功采用和可持续性的关键因素.
主要方法:
- 对 aTBC 实施数据进行定性后期分析.
- 内容和主题分析以确定促进者和挑战.
- 应用实施研究综合框架 (CFIR) 进行编码和组织.
主要成果:
- 促进者包括TBC证据库,FQHC适应能力和强有力的实施领导.
- 挑战包括外部冲击 (例如,COVID-19),模型复杂性,以及关于完全或部分实施的不确定性.
结论:
- FQHC需要专门的倡导者和结构来试点和调整干预措施.
- 支持建设和成功示范的战略规划对于TBC的扩张和可持续性至关重要.
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