具体说明退出实施努力的行为和战略组成部分,针对二级医疗保健中低价值的处方做法
Jennifer Dunsmore1, Eilidh Duncan2, Sara MacLennan3
1Academic Urology Unit, University of Aberdeen, Aberdeen, U.K.. j.dunsmore.19@abdn.ac.uk.
Implementation science communications
|August 7, 2024
概括
对于不必要的处方而言,取消实施策略需要更好地报告行为目标和战略组件. 标准化报告对于复制和成功地取消低价值护理的实施至关重要.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 实施科学 实施科学
- 临床药房 临床药房 临床药房
背景情况:
- 取消不必要或不适当的处方对基于证据的医疗保健至关重要.
- 对撤销战略的高质量报告对于其有效性至关重要.
- 了解行为目标和战略组件对于成功的撤销实施是必要的.
研究的目的:
- 在研究中批判性地分析行为目标和战略组件的报告,以消除二级医疗保健中不必要的处方.
- 使用已建立的规范框架评估报告的充分性.
主要方法:
- 进行了对现有退出实施研究的补充分析.
- 行为组件使用行动,演员,上下文,目标,时间 (AACTT) 框架进行编码.
- 战略组件被映射到Proctor的"测量实施战略"框架的九个元素.
主要成果:
- 行为组件 (使用AACTT) 通常是明确的,尽管演员和时间组件往往是模糊的.
- 战略组件 (使用Proctor的框架) 的报道不太好,参与者,行动目标,剂量和理由元素缺乏细节.
- 确定了对额外规范的建议,例如参与者互动.
结论:
- AACTT和Proctor框架可以容纳行为目标和撤销实施策略组件的规范.
- 详细的报告对于理解,复制和成功地消除不必要的处方是必不可少的.
- 报告质量的标准化是必要的,以确保撤销努力的可复制性.
关键词:
行为目标行为目标撤销实施的情况.我们的框架框架框架.干预 干预 干预低价值的 - 低价值的处方 处方 处方 处方二级护理是指第二级的护理.规格 规格 规格 规格 规格 规格策略 策略 策略补充分析 补充分析更多相关视频
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
1.3K
08:05A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers
Published on: January 5, 2018
9.7K
相关概念视频
01:26Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
01:22Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
01:28Drug Therapy
41
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
41
01:15Nursing Implementation
5.0K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.0K
01:30Ethical Dilemmas II
968
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
968
01:15Methods of Documentation VI: Case Management Model
564
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
564