一个研究协议,用于混合方法环境扫描的情境因素,影响肺癌查的坚持影响
Erin A Hirsch1, Joelle Fathi2, Andrew Ciupek2
1Center for Discovery & Innovation at Hackensack Meridian Health, Cancer Prevention Precision Control Institute, 111 Ideation Way, Nutley, NJ, 07110, USA. Erin.Hirsch@hmh-cdi.org.
肺癌查 (LCS) 的遵守对于降低死亡率至关重要,但在现实环境中通常很低. 本研究协议概述了环境扫描,以确定影响持续参与LCS计划的因素.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 临床实施科学 临床实施科学
背景情况:
- 肺癌查 (LCS) 的遵守对于降低肺癌死亡率至关重要.
- 在现实世界中,对LCS指南的遵守率明显低于临床试验中的水平.
- 关于有效的提醒流程和临床工作流程的知识缺口存在LCS遵守.
研究的目的:
- 描述美国LCS课程当前的坚持和提醒过程.
- 确定临床和系统层面的障碍和促进者,影响LCS遵守.
- 为开发可扩展和可持续的干预措施提供信息,以改善LCS参与.
主要方法:
- 将采用一个三步解释性的顺序混合方法设计.
- 步骤1:对LCS计划进行全国调查,以收集有关计划结构和流程的定量数据.
- 步骤2:与LCS项目人员进行深入采访,以探索坚持干预措施.
- 步骤3:进行定性比较分析,以三角化数据并确定与坚持相关的因素.
主要成果:
- 本研究协议旨在获得关于LCS程序特征和流程的数据.
- 这项研究旨在确定与较高或较低的坚持率相关的特定因素组合.
- 结果将突出持续LCS参与的障碍和促进者.
结论:
- 这项研究将填补有关LCS遵守的关键知识差距.
- 调查结果将指导开发基于证据的干预措施,以提高LCS计划的有效性.
- 该研究有助于推进在各种临床环境中实施和维持LCS计划的科学.
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