为政策干预设计和制定实施战略的研究协议,以便在初级保健中直接访问理疗师:使用实施映射和Delphi调查的连续混合方法研究,使用实施映射和Delphi调查
Eng Kiong Yeoh1, Carrie Ho Kwan Yam2, Ethan Ming Yin Ip1
1The Centre for Health Systems and Policy Research, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
对物理治疗服务的直接访问允许患者在没有医生的转诊的情况下咨询物理治疗师,从而改善了医疗保健的获取. 本研究开发了直接接入物理治疗的最佳政策设计和实施策略.
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
- 物理治疗政策 物理治疗政策
背景情况:
- 许多亚洲地区要求医生推物理治疗,与美国,英国和澳大利亚的直接访问模式不同.
- 直接获得理疗提供了好处,但在政策设计,患者安全和实施方面面临着挑战.
- 香港正在考虑在初级保健中直接获得物理治疗,需要研究最佳政策和实施.
研究的目的:
- 检查干预设计选项,以直接访问物理治疗政策.
- 确定相应的实施策略,以直接获得物理治疗.
- 为香港直接接入物理治疗的政策制定提供信息.
主要方法:
- 一种系统的实施映射方法,由实施研究综合框架 (CFIR) 提供信息.
- 文献评论,定性深度访谈,以及与关键利益相关方的重点小组讨论.
- 通过德尔菲专家调查验证发现,以基于共识的建议.
主要成果:
- 识别直接访问物理治疗实施的障碍和促进者的障碍.
- 为直接访问政策制定可接受的干预特征.
- 根据研究和利益相关者的意见制定定制的实施策略.
结论:
- 用了一种连续的混合方法方法来探索直接接入物理治疗的干预特征和实施策略.
- 将研究和利益相关者的见解整合到可行的政策建议中至关重要.
- 该研究将为适当的政策干预设计和实施策略提供信息,以直接获得物理治疗服务.
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