实施高级访问模型的干预条件:一个实施研究研究
Lislaine Aparecida Fracolli1, Larayne Gallo Farias Oliveira2, Thaynara Silva Dos Anjos3
1Universidade de São Paulo, Escola de Enfermagem, Enfermagem em Saúde Coletiva, São Paulo, SP, Brasil.
Revista gaucha de enfermagem
|November 28, 2024
概括
在初级保健中实施高级访问 (AA) 模型面临着由于社会,结构和专业条件的挑战. 这项研究确定了影响圣保罗AA模型实施的关键因素.
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
- 主要医疗保健管理的管理.
背景情况:
- 高级准入 (AA) 模式旨在改善患者获得初级保健的机会.
- 了解实施障碍对于成功采用医疗保健创新至关重要.
研究的目的:
- 确定阻碍在初级医疗保健机构实施高级访问 (AA) 模型的条件.
- 分析影响医疗保健接入创新的采用和成功的因素.
主要方法:
- 使用"实施研究综合框架" (CFIR) 的实施研究.
- 在圣保罗的13个卫生单位进行的研究,涉及39名卫生专业人员和10名管理人员.
- 通过半结构面试收集的数据,转录,并基于CFIR域编码.
主要成果:
- 四个关键类别影响了AA模型的实施:干预特征,卫生部门组织,个人特征和规划/领导力.
- 确定了与AA模型的设计及其在现有卫生部门组织中的整合相关的具体挑战.
- 个人的看法以及规划和领导策略的有效性显著影响了实施结果.
结论:
- 在圣保罗,社会,结构和专业因素对实施AA模型构成重大障碍.
- 实施研究为重组访问模式的促进者和障碍提供了有价值的见解.
- 该研究强调,需要解决成功改善初级保健准入的背景条件.
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