"只要坚持不",从医院内成咨询服务实施中学到的经验教训
Beth E Williams1, Alisa Patten2, Linda Peng2
1Section of Addiction Medicine in Division of General Internal Medicine, Department of Medicine, Oregon Health & Science University, Portland, OR, USA. willbeth@ohsu.edu.
Journal of general internal medicine
|January 9, 2025
概括
在医院中实施成咨询服务 (ACS) 面临重大障碍,需要冠军证明价值并确保领导力买入. 克服这些挑战对于扩大基本的成护理至关重要.
科学领域:
- 医疗保健管理的管理
- 药物使用障碍 药物使用障碍
- 实施科学 实施科学
背景情况:
- 住院治疗为吸引患者参与成治疗提供了一个关键的机会.
- 成咨询服务 (ACS) 可以改善住院患有物质使用障碍 (SUD) 的住院患者的治疗结果.
- 在医院中广泛实施ACS仍然有限.
研究的目的:
- 确定在医院环境中实施ACS的障碍和促进者.
- 捕捉从ACS实施中学到的经验教训.
- 探索支持未来ACS实施的机会.
主要方法:
- 使用与17名ACS实施领导者的半结构面试进行的定性研究.
- 在11个美国机构进行的采访.
- 使用反射主题分析分析的数据.
主要成果:
- 关键主题包括通过展示价值 (货币和非货币成果),证明冠军的基本属性 (坚持,沟通),利用外部资源,推动文化变革,打击耻辱,并通过质量改进规划可持续性来确保领导层的支持.
- 证明改善的患者护理和满意度对于持续的支持至关重要.
- ACS冠军往往需要代的沟通和战略规划来获得机构的支持.
结论:
- ACS的实施面临着实质性和共同的障碍,特别是在获得领导层支持方面.
- 持续采用ACS需要系统支持,包括金融激励,资金和基础设施.
- 政策和医院系统层面的支持对于授权临床冠军和促进广泛的ACS实施至关重要.
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