我们是否足够公平? 从实施试验中丢失的网站中吸取的教训
Elizabeth J Austin1, Jessica Chen1, Lori Ferro2
1Department of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, WA, USA.
Implementation research and practice
|August 16, 2024
概括
社区网站在实施研究中面临重大障碍,理由是人员负担,技能差距和投资回报率缺乏明确性. 未来的试验必须适应,以公平地包括多样化的实践环境.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
- 基于社区的参与式研究
背景情况:
- 基于实践的实施研究往往偏爱学术环境而不是社区网站.
- 一项评估阿片类药物使用和精神健康障碍协作护理的国家试验失去了三个基于社区的实施地点.
研究的目的:
- 确定社区网站参与实施试验的障碍和需要的支持.
- 了解社区网站在研究环境中面临的挑战.
主要方法:
- 在三个离开社区的地点与关键工作人员 (n=5) 进行了退出采访.
- 使用快速评估过程和双重编码分析了采访成绩单.
- 与研究小组一起反复审查了定性主题.
主要成果:
- 确定了关键挑战:研究压力有限的人员资源.
- 工作人员报告说,他们缺乏与研究相关的舒适度和技能.
- 目前的研究参与模式没有为社区网站提供明确的投资回报.
结论:
- 社区网站认为自己对传统的临床试验参与设备不足.
- 实施试验需要打破传统方法,以确保公平地纳入各种实践环境.
- 未来的研究应该专注于制定战略,以更好地支持社区的网站参与.
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