调动战略转折点,以维持在综合学习健康系统中的有效干预:一个解释性的描述
Karen M Benzies1, Pilar Zanoni2, Deborah A McNeil3,4
1Faculty of Nursing, Departments of Pediatrics and Community Health Sciences, Cumming School of Medicine, Social Innovation Initiative, PF3280C Faculty of Nursing, University of Calgary, 2500 University Drive NW, Calgary, AB T2N 1N4, Canada. benzies@ucalgary.ca.
确定战略转折点可以加速医疗保健干预措施的可持续性. 在研究和卫生系统中认识到这些关键时刻对于实现创新的护理模式的持久实施至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 医疗保健管理的管理
背景情况:
- 创新的护理模式旨在通过改善患者/提供者体验和结果,同时降低成本,提高卫生系统的可持续性.
- 识别在研究和质量改进过程中促进干预维持的关键点是具有挑战性的.
- 战略转折点的概念可以帮助理解实施加速和改善干预的可持续性.
研究的目的:
- 追溯地确定和描述战略转折点.
- 了解加速可持续发展过程的因素.
- 分析阿尔伯塔省家庭综合护理的维持情况.
主要方法:
- 在加拿大阿尔伯塔省使用解释性描述设计的定性研究.
- 有目的地抽取文件,包括提案,项目计划,报告和会议记录.
- 来自阿尔伯塔省家庭综合护理集群的数据分析随机对照试验和质量改善项目.
主要成果:
- 研究背景的转折点:与战略优先事项的协调,以用户为中心的共同设计和实施的上下文化.
- 卫生系统背景的转折点:学习卫生系统,持久的伙伴关系,对变化的反应能力,嵌入式治理和有意的整合.
- 利用这些战略转折点,促进了阿尔伯塔省家庭综合护理的维持.
结论:
- 在研究和卫生系统背景下,确定了维持阿尔伯塔省家庭综合护理的关键转折点.
- 预测和利用这些转折点可以加速实施.
- 这种方法有助于在复杂系统中实现多组件干预的持续性.
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