在南威尔士共同开发一个针对个性化的多式模式癌症预康复计划的变革理论
Jack Walklett1, Alex Christensen2, Charlotte N B Grey2
1Public Health Wales, Research, Data and Digital Directorate, No 2 Capital Quarter, Cardiff, UK. Jack.Walklett@wales.nhs.uk.
BMC health services research
|December 2, 2024
概括
为癌症预康复计划 (如Prehab2Rehab (P2R)) 制定变革理论 (ToC) 是至关重要的. 这种回顾性ToC构建方法有效地指导了改善患者结果和卫生系统效率的评估.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生干预 公共卫生干预
- 瘤学支持项目 支持项目
背景情况:
- 预康复优化了癌症治疗前患者的健康状况,有可能改善结果并降低医疗保健成本.
- 预康复计划需要基于理论的强有力的评估,但对于癌症预康复,尚未开发变化理论 (ToC).
- 这篇论文概述了Prehab2Rehab (P2R) 计划的ToC的回顾性构建.
研究的目的:
- 描述用于追溯开发特定癌症预康复计划 (Prehab2Rehab) 的变化理论 (ToC) 的方法步骤.
- 为复杂的公共卫生干预提供可复制的开发 ToC 的过程.
主要方法:
- 采用了一种代式,参与式的方法,包括文献审查和文档分析.
- 一个与十四个利益相关方的研讨会使用逆向映射来开发最初的ToC.
- 利益相关者参与了三轮进一步的改进和验证.
主要成果:
- 为Prehab2Rehab计划成功有效地开发了变革理论 (ToC).
- 该ToC将干预措施映射到短期,中期和长期结果,旨在改善患者流动和降低卫生系统成本.
- ToC 开发过程增强了项目理解和利益相关者关系.
结论:
- 开发的ToC指导了Prehab2Rehab计划的评估,为支持手术癌症患者的政策和临床实践提供了见解.
- 建议在评估开始时应用ToC开发流程,以促进利益相关者的参与,并提高发现的利用率.
- 基于理论的评估可以为改进癌症预康复和其他复杂的公共卫生干预提供更好的证据.
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