在退伍军人卫生管理局初级保健中实施同行专家:通过加强实施前支持,提高计划忠实度
Christina B Shook1, Laura O Wray1, Katherine M Dollar1
1VA Center for Integrated Healthcare.
Psychological services
|November 14, 2024
概括
投资于实施前的支持大大加快了初级保健中的同行专家 (PS) 的采用. 增强的便利化确保了高节目忠诚度,提高了退伍军人的参与度和医疗保健的满意度.
科学领域:
- 实施科学 实施科学
- 医疗保健管理的管理
- 心理健康服务研究 心理健康服务研究
背景情况:
- 拥有精神健康经验的同行专家 (PS) 提高了老兵在传统环境中的参与度.
- 在初级保健 (PC) 等新的环境中实施PS带来了独特的挑战.
- "VA MISSION法案"要求将PS整合到PC中,需要有效的实施策略.
研究的目的:
- 评估实施便利化对PS在初级保健中的普及的影响.
- 为了比较不同级别的预实施支持对程序忠实性和生产力的有效性.
- 确定促进PS成功融入初级保健机构的关键因素.
主要方法:
- 一个混合方法,两个队列 (15个站点) 的培训计划评估,在PC中实施PS.
- 队列1 (最小的预实施便利) 和队列2 (增强的预实施便利) 之间的结果比较.
- 数据收集包括促进者笔记,时间到里程碑,PS生产力和程序忠诚度.
主要成果:
- 总体PS生产率在两个队列中都相似.
- 队列2在1个月内实现了高节目保真度,而队列1需要12个月.
- 侧重于团队凝聚力,角色明确性和监督员培训的便利化策略改善了PS集成.
结论:
- 加强预实施支持显著加快了在初级保健中实现高保真PS实施的速度.
- 在预实施期间投资于有针对性的便利化对于新实践的整合至关重要.
- 成功的PS集成需要解决团队动态,角色明确性和竞争需求.
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