对复杂干预措施的扩大规模的过程评估 - - 范围审查
Lekha Rathod1, Martin Heine1,2, Daniel Boateng1,3
1Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
International journal of integrated care
|November 11, 2024
概括
过程评估 (PE) 对于扩大复杂的健康干预措施 (CHI) 至关重要. 本次审查强调,在扩展过程中,PE经常关注特定环境的障碍和促进因素,理想情况下使用连续,混合方法的数据收集.
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
- 实施科学 实施科学
背景情况:
- 复杂的健康干预 (CHI) 是公共卫生和社会护理的组成部分.
- 过程评估 (PEs) 对于理解CHI实施,变化机制和上下文影响至关重要.
- 扩大CHI的规模,由于其复杂性和异质性,带来了独特的挑战.
研究的目的:
- 描述当前在CHI扩展期间进行PE的实践.
- 确定与CHI扩展相关的PE的共同主题,方法和结果.
- 为医疗干预扩展过程中的过程评估提供最佳实践信息.
主要方法:
- 进行了对文献的范围审查.
- 搜索了八个主要数据源,用于与CHI扩展同时或之后对PE的研究.
- 提取了关于研究和干预特征,PE方法和利益相关方参与的数据.
主要成果:
- 从10,538个记录中,包括了56项研究,涵盖了CHI扩展的七个主题领域.
- 扩大规模的特定框架很少被使用;PE通常集中在与上下文相关的障碍/促进者上.
- PE数据通常采用混合方法"一次性"收集;扩展策略包括增加覆盖范围,全面性和制度化.
结论:
- 在CHI扩展期间PE行为的变化反映了上下文差异和概念挑战.
- 使用混合方法的连续,系统驱动的PE方法是为提供现实世界的适应提供信息的理想选择.
- 理想情况下,PE应该与扩展项目一起发生,以指导战略调整并了解影响机制.
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