在罗德岛医疗保健系统中实施补充和整合性健康疗法的障碍:定性方法
Nicole Comella1,2, Rani A Elwy3,4,5
1Warren Alpert Medical School of Brown University, Providence, RI, USA.
Journal of integrative and complementary medicine
|October 24, 2024
概括
实施补充和整合性健康 (CIH) 疗法面临诸如缺乏证据和财政激励等障碍. 促进者包括市场压力和提供者的满意度,针和按摩显示了整合的希望.
科学领域:
- 医疗保健系统研究 医疗保健系统研究
- 实施科学 实施科学
- 质量健康研究 质量健康研究
背景情况:
- 补充和整合性健康 (CIH) 疗法占据了一个重要的市场,并且被患者广泛使用.
- 了解利益相关者的看法对于将CIH整合到传统医疗保健环境中至关重要.
- 之前的研究还没有充分探讨在医疗保健系统中CIH实施的具体障碍和促进因素.
研究的目的:
- 确定关键利益相关者对医疗保健系统中CIH疗法的实施的看法.
- 检查影响罗德岛 (RI) CIH整合的障碍和促进者的障碍.
- 为成功在医疗保健中采用CIH的战略提供信息.
主要方法:
- 采用了使用实施研究综合框架 (CFIR) 的定性方法.
- 与各种利益相关者进行了采访:医疗管理人员,保险管理人员,医生和CIH从业人员.
- 通过使用CFIR作为编码框架的定向内容分析来分析成绩单.
主要成果:
- 确定的主要障碍包括缺乏证据,物流复杂性,患者成本和有限的财务激励措施.
- 促进者指出的是市场压力,卫生政策,个人接触CIH以及提供者的满意度.
- 不同的信仰,认证问题以及医疗优先事项与患者需求之间的不匹配也很重要.
结论:
- CIH疗法提供低风险,有效的干预措施,解决未满足的患者需求.
- 实施的挑战源于证据的不良感知和医疗系统缺乏财务利益.
- 针和按摩是整合的潜在方式;建议增加教育和宣传.
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