在实施基于证据的住院患者步行计划时,现场发起的调整
Jaime M Hughes1,2,3, Ashley L Choate3, Cassie Meyer3
1Department of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Journal of the American Geriatrics Society
|July 29, 2024
概括
对STRIDE流动性计划的网站调整是常见的,特别是在文档和资格标准方面. 了解这些修改是有效扩大老年退伍军人医院计划的国家规模的关键.
科学领域:
- 实施科学 实施科学
- 老年人健康计划 老年人健康计划
- 医疗适应研究 医疗适应研究
背景情况:
- 最大限度地适应程序设置对于扩大有效干预措施至关重要.
- 关于将医院的流动性计划适应当地环境的数据有限.
- 这项研究检查了老年退伍军人STRIDE计划的现场启动的调整.
研究的目的:
- 调查医院环境如何适应STRIDE流动性计划.
- 确定共同的适应领域及其与计划可持续性的关系.
- 根据医院计划的有效国家规模化策略制定战略.
主要方法:
- 八个退伍军人事务机构使用阶梯集群随机试验实施了STRIDE.
- 网站在预实施期间调整了计划特征 (人员,营销,文档).
- 根据"改进报告框架" (Framework for Reporting Adaptations and Modifications-Enhanced,简称FRAME) 进行了调整的分类.
主要成果:
- 在七个地点报告了25个适应,主要是在程序文档 (13) 和患者资格 (5) 中.
- 在人员配置模式,计划增强和营销方面发生了调整.
- 适应在两个网站都是常见的,维持和不维持该程序.
结论:
- 在像STRIDE这样的灵活实施计划中,调整是常见的.
- 确定共同的适应领域可以提高国家扩展效率.
- 需要进一步的研究来评估调整对计划实施的影响.
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