评估关联卫生保健初级接触模式:对当前实践的混合方法分析
Caitlin Brandenburg1, Elizabeth C Ward1,2, Maria Schwarz1
1Centre for Functioning and Health Research, Metro South Health, Brisbane, Queensland, Australia.
Journal of evaluation in clinical practice
|October 22, 2024
概括
评估盟友健康初级接触诊所 (AHPCC) 模型是复杂的. 为了证明价值,AHPCC评估需要更好的支持,包括保护时间和领导力买入,才能有效实现.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床评估 临床评估
- 盟友健康实践 盟友健康实践
背景情况:
- 盟友健康初级接触诊所 (AHPCC) 模型越来越多地被采用来管理医疗服务需求.
- 对于这些模型进行强有力的评估,以证明其价值,存在关键需求.
- 对于采用综合评估框架的障碍,如莫雷托框架,尚不清楚.
研究的目的:
- 根据莫雷托框架评估当前的AHPCC评估实践.
- 探索临床医生对AHPCC服务评估的看法.
- 识别城市卫生服务中有效的AHPCC评估的促进者和障碍者.
主要方法:
- 采用了融合混合方法设计.
- 通过预调查收集的定量数据;与AHPCC主要临床医生进行的半结构面试的定性数据.
- 使用了描述性统计数据和主题分析,并将数据合并用于联合报告.
主要成果:
- 来自22个AHPCC的23名临床医生参加了这次会议,揭示了多样化和复杂的AHPCC模型.
- 评估实践各不相同,尽管超过一半的人使用了大多数莫雷托框架措施.
- 生活质量和资源使用指标是最少收集的;关键主题包括评估复杂性,重要性和启用需求.
结论:
- 在所有卫生系统层面上,加强评估和启用AHPCC评估至关重要.
- 改进策略包括保护时间,资金,行政和领导支持,指导和协作结构.
- 利益相关者之间对价值和核心测量领域的共享理解对于有效的资源配置至关重要.
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