实施临床实践指南的挑战,障碍和解决方案:伊朗南部的定性研究
Hedayat Salari1, Fatemeh Najm2, Mohammadreza Yazdankhahfard3
1Department of Health Policy & Management, Bushehr University of Medical Sciences, Bushehr, Iran (the Islamic Republic of).
BMJ open quality
|July 23, 2024
概括
实施临床实践指南 (CPG) 在医学教育,卫生系统和患者获取方面面临挑战. 专家强调将CPG培训纳入医学院课程,并解决健康不平等问题,以提高准则的有效性.
科学领域:
- 医疗保健管理的管理
- 医学教育 医学教育
- 卫生政策 卫生政策
背景情况:
- 临床实践指南 (CPG) 对医疗保健质量至关重要.
- 需要有效的实施策略来克服障碍.
- 对于决策者来说,了解CPG实施的专家观点至关重要.
研究的目的:
- 确定实施CPG的挑战,障碍和解决方案.
- 收集来自布什尔医学科学大学的专家意见.
- 为国家和地方关于采用CPG的决策提供信息.
主要方法:
- 在伊朗南部 (2022) 进行的定性内容分析.
- 在数据和之前,与22名医疗保健系统专家和医生进行了深入采访.
- 采访记录,转录,并使用MAXQDA 2022软件进行分析.
主要成果:
- 出现的挑战主要有四个主题:与医生相关,医疗教育,卫生系统和患者相关.
- 关键障碍包括培训不足,设备/基础设施缺乏以及CPG的适应性不佳.
- 确定了四个主要主题和19个子主题作为潜在的解决方案.
结论:
- 将CPG培训纳入医学院课程是一个优先事项.
- 改革伊朗的医学教育体系被提议为CPG采用.
- 解决健康不平等和资源差异对于准则有效性至关重要.
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