创造对未满足需求的需求:敏捷的讲故事
Jade Mehta1, Emily Long1, Vidhur Bynagari1
1Center for Health Innovation and Implementation Science, School of Medicine, Indiana University, Indianapolis, IN, United States.
Frontiers in health services
|November 15, 2024
概括
敏捷讲故事通过创造当地需求来弥合基于证据的解决方案和医疗保健实施之间的差距. 这种方法成功地促进了社会工作者为状细胞病 (SCD) 护理的招聘,改善了患者的治疗结果.
科学领域:
- 行为经济学是一种行为经济学.
- 复杂性科学是一门复杂性科学.
- 网络科学 网络科学
背景情况:
- 在医疗保健中,基于证据的解决方案的实施往往受到变革的感知需求和实际需求之间的差距的阻碍.
- 对于状细胞疾病 (SCD),这种翻译差距导致指导方针实施的延迟,资源的限制,以及不满足患者需求的护理模式.
研究的目的:
- 引入和评估敏捷讲故事 (Agile Storytelling),这是一个新的过程,旨在创造对在医疗保健中实施基于证据的解决方案的当地需求.
- 为了应对在医疗保健系统中实施SCD最佳实践指南的具体挑战.
主要方法:
- 敏捷讲故事包括一个设计阶段,围绕基于证据的解决方案制作一个叙事,以及使用讲故事冲刺的测试阶段.
- 该方法在一个大型的城市美国医疗保健系统内进行了代的n-of-1案例研究.
主要成果:
- 敏捷讲故事成功地在一周内为SCD创造了专门社会工作者的需求,克服了以前的实施失败.
- 这项干预措施改善了患者的治疗结果,并建立了SCD的协作护理团队.
结论:
- 敏捷讲故事提供了一种结构化和有效的方法,用于在医疗保健组织内产生本地需求.
- 该方法促进了知情的讲故事,以推动采用基于证据的做法,并改善护理服务.
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