采用系统思维方法,优化癌症幸存者的饮食和运动推实践
Ria Joseph1, Nicolas H Hart2,3,4,5,6, Natalie Bradford6
1Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia. ria.joseph@flinders.edu.au.
概括
改善癌症幸存者的转诊需要解决系统层面的因素,如资金和劳动力能力. 本研究确定了在澳大利亚优化专业饮食和运动支持获取关键障碍和策略.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 瘤学支持服务服务.
- 公共卫生政策 公共卫生政策
背景情况:
- 服务推对于癌症幸存者获得重要的专家饮食和运动支持至关重要.
- 许多系统层面的因素显著影响医疗保健系统内的这些转诊实践.
- 优化转诊途径对于改善幸存者护理结果至关重要.
研究的目的:
- 确定影响澳大利亚癌症幸存者的推实践的系统级因素,以获得澳大利亚的专家支持.
- 探索这些因素在医疗保健系统中的相互联系.
- 确定优化饮食和运动推实践的策略.
主要方法:
- 一个为期整天的研讨会召集了国家多学科利益相关者.
- 使用名义组技术和系统思维方法来识别障碍和促进者.
- 开发了六个认知图和一个因果循环图来可视化系统级影响.
主要成果:
- 包括消费者和卫生专业人员在内的27个利益相关者参加了会议.
- 确定的关键系统级因素包括资金,可访问性,知识,劳动力能力和基础设施.
- 提出了15个可行的策略,以加强推实践.
结论:
- 该研究成功地确定了影响癌症幸存者转诊的关键系统级因素.
- 开发的战略为澳大利亚的政策规划和医疗保健实践提供了实际应用.
- 解决这些因素可以改善癌症幸存者获得基本支持性护理的机会.
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