一个用于评估实施战略完整性的概念框架
Todd Molfenter1, Lori Ducharme2, Lynda Stein3
1Center for Health Enhancement System Studies (CHESS), University of Wisconsin-Madison, Madison, WI, USA.
Implementation research and practice
|December 9, 2024
概括
实施科学中的混合结果强调了研究实施战略完整性的必要性. 新的实施战略诚信框架 (ISIF) 有助于衡量战略如何影响基于证据的创新.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
- 项目评价 项目评价
背景情况:
- 计划实施的努力往往产生不一致的结果,一些举措未能实现所需的变化或影响.
- 实施研究中各种发现的原因是复杂的,特别是对实施策略的部署方式 (完整性) 和它们对基于证据的创新 (EBI) 的后续影响的探索不足.
研究的目的:
- 制定和引入实施战略完整性框架 (ISIF),以解决实施战略完整性在影响EBI结果方面的不足研究的作用.
- 在基于证据的创新实施的背景下,为记录和衡量实施策略的完整性提供结构化的方法.
主要方法:
- 实施科学研究人员开发了ISIF,基于现有的关于战略忠实性和变化机制的文献.
- 该框架确定了四个关键领域的文档和测量:实施战略严格性 (遵守,剂量,质量),目标用户响应性,目标机制激活,以及上下文变量的影响.
主要成果:
- 实施策略严谨性包括规范策略,记录遵守,执行质量和适应.
- 目标用户响应度评估了用户参与和在与战略相关的行动中的表现.
- 目标机制激活测量了战略对促进EBI使用的因素的影响程度,背景变量可能会调节或调解这些影响.
结论:
- 国际投资基金提供了一个必要的工具来定义,运行,测量和评估实施战略的完整性.
- 这一框架促进了实施战略完整性作为解释变量的使用,提高了在实施科学中对行动机制的理解.
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