在比利时扩大慢性病综合护理:一个过程评估
Josefien van Olmen1, Katrien Danhieux1, Edwin Wouters2
1Department of Family Medicine and Population Health (FAMPOP), Faculty of Medicine and Health Sciences, University of Antwerp, Belgium.
Health policy (Amsterdam, Netherlands)
|January 9, 2025
概括
扩大2型糖尿病和高血压综合护理套餐 (ICPs) 需要合作和信任. 灵活的路线图有助于沟通,规划和监测,以成功扩展干预.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 关于扩大综合护理干预措施的研究有限.
- 该SCUBY项目专注于扩大针对2型糖尿病和高血压的综合护理套餐 (ICP).
- 本研究评估了比利时ICP扩展的过程.
研究的目的:
- 描述扩大ICP的干预措施的发展.
- 评估ICP扩大规模的过程结果.
- 评估ICP覆盖范围,扩展和制度化的进展.
主要方法:
- 采用了一个案例研究设计.
- 数据是通过项目日记,利益相关者调查和11个关键信息人采访收集的.
- 开发了工具,以可视化覆盖,制度化和扩张的进展.
主要成果:
- 扩大规模的路线图侧重于初级保健组织,数据/监测和融资.
- 进行了99个政策对话,利益相关者发现所有主题都很相关.
- 在扩大规模的制度化方面,观察到最显著的进展.
结论:
- 成功的ICP扩展需要一种协作,网络的方法来培养信任和买入.
- 在规模化策略中,平衡相关性和可行性至关重要,考虑到上下文因素.
- 路线图可以作为变革团队的动态工具,支持沟通,规划和监测,同时允许干预适应性.
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