制定实施干预措施,并确定将健康创新纳入常规实践的战略:对胰岛素患者决策辅助工具实施的案例研究
Wen Ting Tong1, Yew Kong Lee1, Chirk Jenn Ng1,2,3
1Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
PloS one
|November 15, 2024
概括
本研究详细介绍了马来西亚胰岛素患者决策辅助器 (PDA) 的实施干预. 它确定了关键障碍和11种战略,以将这种基于证据的创新纳入常规临床实践.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 临床创新 临床创新
背景情况:
- 有效地实施基于证据的创新对于现实世界的实践至关重要.
- 干预开发流程对策略选择和相关性有重大影响.
- 关于实施干预开发和流程的文献有限.
研究的目的:
- 报告实施干预的发展情况.
- 将基于证据的创新纳入常规实践.
- 以马来西亚的胰岛素患者决策辅助器 (PDA) 为例.
主要方法:
- 使用知识转化为行动框架 (步骤3和4).
- 根据理论领域框架进行了定性访谈 (n=53),以确定障碍.
- 通过多票选优先考虑障碍,并通过利益相关者的参与确定/实施了11个战略.
主要成果:
- 在医疗保健提供者,患者,组织和创新因素中确定了26个障碍和11个促进者.
- 优先考虑了干预发展的13个关键障碍.
- 制定了11个具体策略,包括任务更改,培训,患者参与和语言适应.
结论:
- 突出了患者决策援助实施的重大障碍.
- 为成功实施提出了可行的策略.
- 为基于证据的创新做出了可复制的干预开发方法.
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