实施和评估体育活动的全面整合到一个主要的卫生系统:研究设计和协议
Mark Stoutenberg1,2, Paul A Estabrooks3, John M Brooks4
1Department of Sport and Exercise Sciences, Durham University, Durham, UK.
BMJ open
|January 6, 2025
概括
这项研究评估了格林维尔"运动是医学" (EIMG) 计划.
科学领域:
- 公共卫生和预防医学
- 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:
- 医疗保健部门可以促进慢性疾病管理的体育活动 (PA),但面临着采用和实施障碍.
- 运动是医学格林维尔 (EIMG) 是一个诊所到社区的模型,用于PA评估,推和转介到社区计划.
- 采用和实施EIMG的变化会影响患者覆盖率和转诊率,需要评估和改进策略.
研究的目的:
- 审查EIMG计划的采用,实施和影响力.
- 确定影响EIMG采用,实施和患者入学社区PA计划的因素.
- 完善在卫生系统中优化和扩展诊所到社区的PA模型的策略.
主要方法:
- 一项实用性研究涉及20家初级保健诊所,邀请他们采用EIMG.
- 第一阶段:标准化指导视频和EIMG激活,用于患者转诊.
- 第二阶段:为采用诊所进行深入的船上培训. 混合方法方法使用RE-AIM和PARIHS框架来评估实施结果和上下文因素.
主要成果:
- 在采用诊所的两个四个月阶段追踪患者转诊率.
- 探索影响采用,实施,覆盖范围和患者招募的因素.
- 通过混合方法方法收集数据以告知程序改进.
结论:
- 这项研究将为优化临床到社区的PA模型提供见解.
- 结果将为未来的实施策略提供信息,以将PA计划整合到卫生系统中.
- 通过将患者与社区PA资源联系起来,结果有可能增强临床实践和改善健康结果.
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