将系统层面的利益相关者观点纳入移动综合健康计划的设计中
Laurel O'Connor1, Stephanie Behar2, Jade Refuerzo1
1Department of Emergency Medicine, University of Massachusetts Chan Medical School, Worcester, Massachusetts.
Prehospital emergency care
|December 17, 2024
概括
移动综合健康 (MIH) 计划面临实施障碍. 解决方案包括定义MIH身份,整合工作流程,并确保更广泛采用退款.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 移动综合健康 (MIH) 计划提供了经过验证的有效性,成本节省和资源优化.
- 美国MIH计划的广泛采用受到系统,社区和组织障碍的阻碍.
- 像MIH这样的基于证据的干预措施在与现实世界的临床实践整合中扎.
研究的目的:
- 确定阻碍移动综合卫生 (MIH) 计划实施的障碍的解决方案.
- 从多层次的利益相关者收集关于克服采用挑战的见解.
- 为MIH的广泛整合提出务实的战略.
主要方法:
- 采用了CENTERing在实施理论方法论中的多层次合作伙伴声音.
- 与18个不同的利益相关者进行了半结构化采访.
- 使用实施研究综合框架进行面试指南和编码.
主要成果:
- 确定的解决方案包括为MIH范式建立一致的身份.
- 采用跨学科方法,利用信息学开发高效的MIH工作流程.
- 实施针对高风险人群的资本化费用表,以提高成本效益.
结论:
- 一个有凝聚力的身份,战略工作流程的调整和强大的报销结构是MIH成功的关键主题.
- 解决已识别的障碍可以加速将MIH模型转化为可持续实践.
- 与付款人合作对于促进有效偿还至关重要.
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