与成功的酒精查和简短干预实施和维持在成人初级保健中的背景因素相关
Stacy A Sterling1, Yun Lu2, Christina Grijalva2
1Division of Research, Kaiser Permanente Northern California, 4480 Hacienda Drive, Pleasanton, CA 94588, USA; Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, 675 18(th) St., San Francisco, CA 94143, USA; Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S Los Robles Ave, Pasadena, CA 91101, USA.
当医疗保健机构加强其实施基础设施时,实施酒精查和简短干预 (ASBI) 更加成功. 这有助于提高初级保健中危险饮酒的查和干预率.
科学领域:
- 公共卫生 公共卫生
- 医疗保健 实施 科学 科学
- 成 药物 药物 药物 药物
背景情况:
- 危险饮酒影响到美国20%的初级保健人口,构成重大公共卫生挑战.
- 酒精查和简短干预 (ASBI) 是有效的,但广泛实施和维持策略需要进一步调查.
- 凯泽永久北加州 (KPNC) 从2013年开始在成人初级保健中实施了系统的ASBI.
研究的目的:
- 用电子健康记录 (EHR) 数据来描述ASBI在8年内实施和维持的情况.
- 评估各种因素之间的关联,包括基于PRISM框架的提供者看法,以及ASBI费率.
- 确定促进ASBI成功实施和医疗保健系统可持续性的促进者.
主要方法:
- 利用8年的KPNC EHR数据 (2014-2021) 来计算年度查和短期干预 (BI) 率.
- 从796个初级保健提供者收集了基于Web的调查数据,以PRISM实施框架领域为指导.
- 分析了PRISM领域分数 (干预,外部环境,实施基础设施,接收者) 和ASBI率之间的关联.
主要成果:
- 在2014年至2021年期间,完成了超过500万次查和624,000次BI.
- 较高的实施基础设施得分与查和BI率的增加相关.
- 干预和受益者领域的积极看法与更高的BI率有关.
结论:
- 调查结果提供了对促进ASBI成功实施和可持续性的因素的见解.
- 在实施系统的ASBI计划之前,加强组织的实施基础设施能力至关重要.
- 这些结果可以为未来的ASBI在医疗保健系统中的实施工作提供信息.
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