在初级保健中维持12个月的IPV查和响应计划:影响实施成功的上下文因素
Katherine M Iverson1, Julianne E Brady2, Omonyêlé L Adjognon3
1Women's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts; Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts.
在初级保健中维持亲密伴侣暴力 (IPV) 查需要领导层的支持和明确的协议. 解决人员短缺等障碍对于IPV查计划的长期成功至关重要.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 退伍军人卫生管理局 (VHA) 利用实施便利化 (IF) 在初级保健中增加亲密伴侣暴力 (IPV) 查.
- 本研究评估了这些查计划的长期成功,即在便利化期结束一年后.
研究的目的:
- 在实施便利化 (IF) 后的12个月内,检查VHA初级保健机构对亲密伴侣暴力 (IPV) 查的持续采用情况.
- 确定导致或阻碍IPV查计划持续使用的关键因素.
主要方法:
- 混合方法的方法将定量选率与关键告密者采访的定性数据相结合.
- 在最初的采用期和1年的维持期内分析了查率.
- 网站根据采用和维持成功进行了分类,并整合了定性发现,以确定跨站点模式.
主要成果:
- 在九个地点中,有七个维持或增加了IPV查率.
- 高绩效的网站表现出强有力的领导支持,持续培训,明确的协议和可访问的推网络.
- 非持续性网站的障碍包括人员问题,竞争优先事项和不一致的领导信息.
结论:
- 在初级保健中维持IPV查需要采用多方面的方法.
- 关键的促进者包括一致的领导力认可和全面的推服务.
- 解决员工流动和竞争需求等障碍对于成功的长期实施至关重要.
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